Rychlak Power Systems Online Meet Entry

ONLINE PAYPAL MEET ENTRY PAYMENT

FOR

NEW JERSEY LOCKDOWN
BENCH PRESS &
SKIBA'S SUMMER BENCH BLAST
July 22, 2012

Prices include the PayPal processing fee.
Mailed entries are still accepted and are not charged the processing fee.
Submitting entry is agreeing to the terms of the liability waiver.

1 Division - $88.00
2 Divisions - $135.00 • 3 Divisions - $182.00 • 4 Divisions - $230.00

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Entry Fees

Competitor's Name

Street Address

City, State, Zip

Phone E-mail Address

Age Birthdate

MEET

Events

Weight Class Sex

Divisions: Multi-Ply, Single-Ply, Raw Classic
Division 1 Division 2
Division 3

Class: Amateur, Professional, Elite*, Police Pro, Police Am, Military Pro, Military Am
(*Elite $100 Mandatory Test Fee to be paid prior to start of meet)
Class 1 Class 2
Class 3 Class 4

Age Divisions: Open, Teen, Junior (20-23), Submaster (33-39), Master
Age Division 1 Age Division 2

T-shirt Size
t-shirts are not guaranteed, lifter and/or sponsorship participation will determine availablilty. t-shirts will only be provided to lifters who enter by the entry deadlines.