23^rd North American Championship May 25^th to 27^th 2012 , Saskatoon, SK, Canada

                                                   REGISTRATION FORM

Last Name:	First name:
ISPA Membership Number:	Birthdate
Address:	Postal Code/Zip Code:
Telephone:	City:
Email:	Country: Select One Canada USA Argentina Australia Austria Bahamas Belgium Bermuda Brazil Chile Denmark France Germany Netherlands Paraguay Poland Repablic South Africa Spain Switzerland Thailand
Province or State: Select One Other Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Alaska Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming	Club :

  I LIKE TO REGISTER FOR THE FOLLOWING (Please click on the circles to indicate Yes or No)

                                                                                                                        Yes (or) No

May 24^th	Pre-Tournament	2 Rounds CAN$ 20.00
May 25^th	Saskatchewan Tournament	3 Rounds CAN$ 35.00 for ISPA members US$ 30,00
May 25^th & 26^th	North American Championship	5 Rounds CANS 110.00 for ISPA members CAN$ 100.00

I’M ALSO PLAYING IN THE CHALLENGE CUP

Note: To participate in the Challenge Cup you have to qualify with your average score for the past year.

You will be notified and invited by one of the ISPA Canada/USA Vice Presidents ahead of time.

       Yes   (or)    No

May 25^th & 26^th

Challenge Cup ( 4 Rounds CAN$ 40.00 )