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INDIANA NSA 2008 - TRAVEL PERMIT for NSA QUALIFIERS ONLY
Any INDIANA NSA team that wishes to participate in NSA Tournaments outside the state of INDIANA
needs to fill out this form, and submit to the STATE Office no later than 30 DAYS prior to the tournament.

         INDIANA NSA 2008 - TRAVEL PERMIT

DATE of Request:  _______________________________________________________________

2008 NSA Registration Number:  ____________________________________________________

My team wishes to participate in the following NSA Tournament:

Tournament Name:_______________________________________________________________

TRNY Date:  ___________________________TOURNAMENT LOCATION:___________________

TRNY Director: _________________________AGE:_______________CLASS:_______________

Team Name: ___________________________________________________________________

Manager Name:  _________________________________________________________________

ADDRESS:______________________________________________________________________

CITY:__________________________________ZIP CODE:________________________________

Fax: ___________________________________EMAIL: __________________________________

Phone: (H) ______________________________Phone: (W) _______________________________

Managers Signature: ________________________________________

State OFFICE Approved Date: _______________ Approved By: _____________________________

          MAIL TO: SHIRLEY MINNICK
          PO BOX 312
         WABASH INDIANA 46992
         This form will be reviewed by the State Office.  
         THIS FORM WILL BE RETURNED TO YOU TO TAKE TO THE TOURNAMENT DIRECTOR
           After the Travel Permit is received in office,
           it will take no less than one week to reply.
           After one week, please feel free to contact us via e-mail.  Thank you.
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