2004 Registration Form
6th Annual International Classic Game Tournament

First Name: ________________________ Last Name: ________________________________


Address 1: ___________________________________________________________________


Address 2: ___________________________________________________________________


City: ________________________________________ State: __________ Zip: ____________



Phone: ___________________ Fax: __________________ Email:
______________________



Payment Method

Check Mastercard Visa Money Order

Credit Card# ____________________________ Expiration __________


I am signing up (#)____________ person/people for the Classic Game Tournament

Total Amount Paid (# of people x $30): ________________________


Return this form to Funspot with payment in US $ to:

Funspot
Attn: Gary
PO Box 5428
Weirs Beach, NH 03247