Ohio State Backgammon Club

​​Name:  ________________________


Address:  ___________________________

City: __________________________

State/Country:  ________________________


Zip Code:  _________________

Home Phone: (  ____  ) ______________

E-mail Address:  ____________________


   _X__    I have moved, the above address is new. Please circle if address has changed

 

Day of arrival Thursday, Friday or Saturday (circle)

Ohio Masters       $300.00          Side Pool $100.00  * Clocks Required *

11 pts Single Elimination

Amateur Jackpot  $150.00           Side Pool $50.00 *Clocks Required *

7pts  Single Elimination

Open Division:      $300.00          Side Pool $100.00 * Clocks required *

11pts 9pts Cons, 5 pts LC

Advanced:  Division       $150.00           Side Pool $50.00 *Clocks required*

9pt main, 7pt Cons, 5pt LC

    Novice:                      $50.00         Side Pool $20.00

      

   Doubles:       
  $160.00 / Team      Side Pool $ 40.00 * Clocks Required*

**Anyone playing in the Masters or Amateur Jackpot may not play in the Doubles event Friday night at the same time ****

Deposit for Ohio Masters $50.00 (minimum)

Deposit for Amateur Jackpot $25.00 (minimum)

Deposit for main event  $ 20.00  ( minimum )

Registration    $40.00  USBGF Members

                        $60.00  Non-Members

                        $20.00  Novice

 

Amount enclosed                            $______.___


Make checks payable to: Joseph Miller

Mail to OSBC 

            861 Stanwood Avenue

            Akron, Ohio 444314