INDIANA STATE USBC WBA AWARD SCORES

Electronic Form

This form is to be completed by the Association Manager.

Please provide the information of the bowler who has scored a 275-299 Game or 700 Series. Game and Series information may be submitted on the same form. Check all boxes that apply.

Association Name
Local Association Number

Name: Home Area Code/Phone:

E-Mail:

Name:		Home Area Code/Phone:
E-Mail:

Award Score Information:

The Indiana State USBC WBA 700 Series is a once in a lifetime award effective August 1, 2006.
Is this the bowler's first certified 700 Series in IS USBC WBA?
1st 700 Series Has a previous 700 Series

A High Game Award is provided to an individual once per season.
275-299 Game

Name:
Address:

City: State: Zip:

Name:
Address:
City:	State:	Zip:

GAME #1 GAME #2 GAME #3 SERIES

Date scores were bowled
Select Month Select Day Select Year

OTHER COMMENTS: