USSA ALPINE ENTRY CARD

Last Name                     First Name                             Sex:     M     F      Club                        Year of Birth           Age Class

 

Address

 

USSA #                             DH Pts.                      SL Pts.                       GS Pts.                      SG Pts.
         
City                                                                               State                     Zip+4                                   Area Code & Phone

 

Name of Race                                                                Location                                                                  Date of Race

 

Date Paid                                 Owes                             Comments                                                                  Race Code

 

 

USSA ALPINE ENTRY CARD

Last Name                     First Name                             Sex:     M     F      Club                        Year of Birth           Age Class

 

Address

 

USSA #                             DH Pts.                      SL Pts.                       GS Pts.                      SG Pts.
         
City                                                                               State                     Zip+4                                   Area Code & Phone

 

Name of Race                                                                Location                                                                  Date of Race

 

Date Paid                                 Owes                             Comments                                                                  Race Code

 

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