January 17, 2009
Boardwalk Entertainment Center
Noon - 3:00pm
$100 entry fee per team (4 bowlers) - includes 3 games, shoes


Team Captain _____________________________________________________

Address __________________________________________________________

City _______________________________ State ___________ Zip __________

Home Phone ___________________________ Work ______________________

Email Address: ____________________________________________________

Team Info:

Team Name ________________________________________

Team Captain ______________________________________

Bowler #2 _________________________________________

Bowler #3 _________________________________________

Bowler #4 _________________________________________

To reserve your spots, return this completed form and your $100 team entry fee:

K92FM Bowling Challenge
Attn.: Kristen Madzik
4192 John Young Parkway
Orlando, FL 32804

Questions? Call K92FM Promotions office at 321-281-2023. Spots are confirmed upon receipt of payment.
First come, first serve! Cash and checks only.
Please make checks payable to: Ronald McDonald House

- - - - - - - - - - - - - - - - DO NOT WRITE BELOW THIS LINE - - - - - - - - - - - - - - - -

DATE RECEIVED __________________ CASH __________ CHECK # ____________

TEAM NUMBER ___________