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2010 NH State Singles & Doubles Championships

January 22-24, 2010

Nashua Athletic Club

596 West Hollis Street

Nashua, NH

First Name: Last Name:

Address: City: State: Zip Code:

Home Club: USAR Membership No:

E-Mail Address:

Daytime phone No. Evening or Cell phone No.:

Junior Information: ................Choose One: .....................Age:

You are allowed to play up to 3 events. For each event please pick only 1 from the 3 event types;, Skill Level, Age Group or Doubles. If you play 3 events your 1 event MUST be a Mixed Event.

Please pick one event from the pull down menu below.

Select your First event: Select a Skill Level OR pick an age division and skill level OR pick a doubles event

First Event Doubles Partner

Please pick one event from the pull down menu below.

Select your Second event: Select a Skill Level OR pick an age division and skill level OR pick a doubles event

Second Event Doubles Partner

Please pick one event from the pull down menu below.

Select your Second event: Select a Skill Level OR pick an age division and skill level OR pick a doubles event

Second Event Doubles Partner

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