ENTRY FORM
FOR THE PRINCETON OPEN TABLE TENNIS TOURNAMENT, OCTOBER 31, 2004

***NOTE:  Please register online at our website (http://www.princeton.edu/~puttc).
Proceed filling out and mailing this form only if you do not have Internet access.***

The entry form must be postmarked by Monday, October 25, 2004. Afterwards, a $5 late fee for each entered event will apply.

First name  ____________		Last name  ____________
E-mail address  ______________
Mailing address  ____________________________________________
The club(s) where you play (if any)  ___________________________

Select the event(s) you would like to play. USATT members may not sign up for the recreational tournament. If you sign up for the recreational tournament, you cannot sign up for any of the other events.
(  ) Open ($15)		(  ) U-1600 ($12)	(  ) Recreational ($10)

If you are a member of the USATT, please provide the following information:
USATT membership #  ______		Your USATT rating  ______

If you are unrated, or if your rating is significantly out-of-date and inaccurate, you may provide an estimate of your playing ability:  ______

If you are signing up for the recreational tournament, your total payment will be $10. Otherwise, your total payment will be the sum of the event fee(s), the rating fee ($4) and (if applicable) the USATT membership fee (see the back of this sheet for details). This amount is payable by cash (please try to bring the exact amount) or check (addressed to "Princeton University Table Tennis Club") on the day of the tournament.

Please be sure to notify us if you register but subsequently cannot make it to the tournament. You can e-mail us at puttc@princeton.edu or call PUTTC president Ivan Bútora at (609) 986-8136.

By registering, you agree to:
- abide by all USATT regulations;
- relieve the USATT and the organizers of all liability for potential injury;
- notify the organizers if you have to cancel any of your entries.
 
We are looking forward to an exciting day of table tennis at Princeton University.

Mail to:

PU Table Tennis Club
Room 3, Dillon Gym
Princeton University
Princeton, NJ 08544

Your signature                                                     Date
_____________                                                    _______________

Current USATT membership rates are:

1 Year Adult Membership:			$40.00
3 Year Adult Membership:			$100.00
1 Year Family Membership:		$60.00
3 Year Family Membership:		$150.00
1 Year Junior (Under 18):			$20.00
3 Year Junior (Under 15):			$50.00
Collegiate (full time student):		$20.00
One-Time Tournament Pas:		$10.00
Tournament Pass Upgrade – Adult:	$30.00
Tournament Pass Upgrade – Junior:	$10.00
Millennium Life Membership Life:	$650.00
 
Please check http://www.usatt.org/news/2004_membership_rates.shtml for more info.