5th Annual Unscrabble 2009 - Online Registration Form

PCLC’s 6th Annual Team UN-SCRABBLE® Fundraiser
Online Registration Form

April 1, 2010, 5:00PM Registration, Game 6:00PM to 9:00 PM
Holiday Inn
1001 Amber Ave, Stevens Point, WI 54481

REGISTRATION FEE ($100.00) INCLUDES
SNACKS, BEVERAGES, DOOR PRIZES AND HOURS OF FUN!

Team Name:

Representing: (company or organization)

Team Captain/Contact Name:

Name:

Address:

City:

State:

Zip Code:

Email:

Phone:

Team Members

Player 1 - Information:
Name:
Address:
City:
State:	Zip Code:
Email:
Phone:

Player 2 - Information:
Name:
Address:
City:
State:	Zip Code:
Email:
Phone:

Player 3 - Information:
Name:
Address:
City:
State:	Zip Code:
Email:
Phone:

Player 4 - Information:
Name:
Address:
City:
State:	Zip Code:
Email:
Phone:

security code

Please enter the security code you see above:

Printable registration forms & pledge sheets are here. Please send form and $100.00* to register your team by March 26, 2010 to:

PCLC
1052 Main Street, Suite 104
Stevens Point, WI 54481-2848

Email: PCLC@pocolit.orgPhone: (715) 345-5341

* Participants are encouraged to raise additional money through pledges. Prizes will be awarded to teams raising the most money for the Literacy Council.