A.S.A. ORDER FORM

SEND ORDER TO :
BETTY BRADFIELD
5001 E. Main St. #1264,
Mesa, AZ 85205

Phone : 480-807-5183

E-mail : nubeegirl@gmail.com

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.
nubeegirl@gmail.com (click below)


ITEM QUANTITY COST TOTAL
TOURNAMENT CARDS

....... BLUE

....... PINK

TOURNAMENT CHARTS

....... CHAMPIONSHIP

....... CONSOLATION

MEMBERSHIP CARDS

REFEREE CARDS

A.S.A. RULES

.03

.03



.10

.10

.03

.03

.08
--- a copy of this form will be included with your order and a copy goes to the ASA Treasurer TOTAL AMOUNT DUE
=
____________


REQUESTED BY : NAME : _________________________

DISTRICT : __________________________________

DATE DELIVERED : ___________________________