A.S.A. ORDER FORM
SEND ORDER TO :
P. AL BRUNNER
5001 E MAIN STREET #649
Mesa, AZ. 85205
Phone : 480-832-4920
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SEND ORDER TO ARRIVE NO LATER THAN 2 WEEKS PRIOR TO FALL STATE MEETING FOR DELIVERY AT STATE MEETING. ORDER CAN BE BY E-MAIL.
pabrunner@juno.com
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ITEM
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QUANTITY
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COST
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TOTAL
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TOURNAMENT CARDS
....... BLUE
....... PINK
TOURNAMENT CHARTS
....... CHAMPIONSHIP
....... CONSOLATION
MEMBERSHIP CARDS
REFEREE CARDS
A.S.A. RULES
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.04
.04
.10
.10
.03
.03
.08
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--- a copy of this form will be included with your order and a copy goes to the ASA Treasurer
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TOTAL AMOUNT DUE
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=
____________
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DISTRICT : __________________________________
DATE DELIVERED : ___________________________
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