Top Stick Tour Membership Form

[John Barron]

Top Stick Pro
Membership Form
2009 Season

Name:_______________________________ Phone ___________________

Address:_____________________________ City:_____________________

Zip:_____________ E-Mail:______________________________________

SSN#_________________________

$35.00 Membership Check # ____________ or
Credit Card Number______________________________________Exp Date _________
and billing zip code____________ (a 3% Service Charge for use of Credit Card)

January 31, 2009 Castaic West Ramp entry must be paid in full by 1/23
February 21, 2009 Lake Hodges entry must be paid in full by 2/13
April 18, 2009 Pyramid Lake entry must be paid in full by 4/10
May 23, 2009 Diamond Valley (tentative) entry must be paid in full by 5/15
June 20, 2009 Castaic Lake entry must be paid in full by 6/12
TOC…………..Santa Margarita Lake
This is the confirmed schedule however dates and venues may be changed do to unforeseen circumstances at the discretion of Tournament Officials.
I have read the Rules and Regulations for the Top Stick Tour 2009 and agree to abide by them
Mail completed form and payment to:
John Barron/Top Stick
1440 Camper View Rd
San Dimas, CA 91773


Signature:___________________________________ Date:____________