2010 POWERSTATION PRO/AM
FULL POWER MEET ONLY
DATE/LOCATION:
FRIDAY, AUGUST 20 AMATEUR MEET
HOTEL INFORMATION:
400 Glensprings Dr.
Cincinnati
,
OH
45246
DIRECTOR
ENTRY FEE
$150 PER LIFTER FOR PRO
1821 SOUTH UNIVERSITY BLVD
MIDDLETOWN
OH 45044
ONE
DIVISION
** WE WILL NOT ISSUE ANY REFUNDS FOR ANY REASON**
DIVISIONS
$ 8,5,00
QUALIFYING TOTALS
NO EXCEP
T
IONS!!
YOU MUS
T
MAKE A QUALIFYING
T
O
T
AL
T
O WIN ANY
MONE
Y, PERIOD!!
WEIGH-IN 24 HR.WEIGH-IN*MEET STARTS AT
* MEET IS IN LBS*
WEIGHT CLASS_________TOTAL___________PRO_________AM__________
NAME______________________________ AGE___________ BIRTHDATE________
STREET ADDRESS_______________________________________________________
CITY________________________________STATE____________ZIP______________
PHONE NUMBER_____________________EMAIL ADDRESS___________________
METHOD OF PAYMENT: ________CASH________CHECK _______ MONEY ORDER
PLEASE DO NOT EMAIL THE ENTRIES. PAYMENT MUST ACCOMPANY ENTRY FORM. MAKE CHECKS PAYABLE TO MIKE
FERGUSON
RELEASE FROM LIABILITY:
Signature (in full) of applicant/ Date Signature (in full) of parent or guardian if applicant is under 21 years of age
