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The Green Mountain Challenge Scrabble® Tournament Entry Form
10-12 November 2006      Essex, Vermont

To be on-time, tourney registrations must be postmarked by 1 November 2006. NO walk-ins.
(PLEASE NOTE: The Inn guarantees room rate/availability until October 27, 2006, so reserve a room
with the hotel before this date to assure hotel accommodations. Reservations must be guaranteed with a
credit card. Credit card must be present at check-in. Persons with a guaranteed reservation
who do not show will be charged one night's room rate plus tax. See flyer for contact & price info.)

To enter, print and complete this form, and surface mail with check or money order in US funds for all
applicable fees to: Kevin Colosa, PO Box 4263, St Johnsbury, VT 05819.
Make check payable to Kevin Colosa.
__________________________________________________________________________________

Name	___________________________________________	Phone	(_____)______________
Address	___________________________________________	E-mail	_____________________
City/State/Zip	___________________________________________	NSA#	_____________________

Entry Fee
_____ $60 Division A	_____ $50 all others

_____ $20 Early Bird (Friday afternoon)

_____ I would like to play up, if possible.

Commuter Fee (please check one)
_____ $25 (all non-hotel package attendees must pay to defray playing room costs.)
_____ $0 (I have made a reservation at The Inn at Essex and my roommate is ____________________.)

Late Fee
_____ $10 late fee (registrations postmarked after 1 November 2006)

Roommates (Though players will make reservations directly with the Inn, we'll help players find roommates.)
_____ list me on the seeking a roommate page         ____ smoking ____ non-smoking

Optional Dinner for Commuters
_____ $32.50 (non-hotel guests can choose to join us for dinner Saturday night)

TOTAL ENCLOSED $______

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