TEAM ENTRY FORM -
THE MOUNTAIN STATE LINEMAN’S RODEO
JUNE
14, 2008
PLEASE
PRINT or TYPE
Journeyman
#1: Shirt Size __SMALL __MED __LARGE
__XLARGE __XXLARGE __XXXLARGE
Name Title Phone(___)___________
Address City State_____Zip _________
Journeyman
#2: Shirt
Size __SMALL
__MED __LARGE __XLARGE
__XXLARGE __XXXLARGE
Name Title Phone
(___)________
Address City State_____Zip
Ground
Man: Shirt Size __SMALL __MED __LARGE
__XLARGE __XXLARGE __XXXLARGE
Name Title __________Phone(___)___________
Address City State Zip
Employer: Location
Contact
person for Rodeo Team Phone( ) ____
Contact
person’s address:
Address City State Zip
(All Rodeo information will be sent to the
coordinator unless otherwise requested).
ENTRY
FORM DEADLINE May 1, 2008
Entry Fee:
$300.00/Team. ENTRY FEE MUST BE
ENCLOSED WITH ENTRY FORM. YOU MAY PAY BY
CHECK MADE PAYABLE TO: Mountain
States Lineman’s Rodeo
OR
CREDIT
CARD (PLEASE COMPLETE AND
SIGN INFORMATION BELOW
TYPE OF CARD:
_____MASTER CARD _____VISA
CREDIT CARD NUMBER
_____________________________EXPIRATION DATE ________
SIGNATURE OF CARD OWNER
__________________________________________
Please
mail completed forms and payment information to:
Mountain States Lineman’s Rodeo
Team/Apprentice Registration
I
understand that all hooks, belts, and hand tools furnished by me will be in a
safe operating condition. I have also
read all rules outlined in the Mountain States Lineman’s Rodeo Packet.
SIGNATURE: Journeyman #1
Journeyman
#2
Ground Man
UPON RECEIPT OF
YOUR REGISTRATION, A COMPLETE PACKET OF INFORMATION WILL BE MAILED TO YOUR TEAM
CONTACT.
If you have any
questions, please call Candy Rulen at
1-304-348-4196.