Western Regional Button Association
Award Submission Form
Sponsor's name______________________________ (Be a WRBA member!)
Telephone# __________________________ Check enclosed $______________
Email ____________________________________________
Awards may be emailed to: tomdarby@sti.net
A check payable to WRBA should be mailed to:
Tom Barrans
Division: _______ Class #: __________________________________
Size: ___________ (if "ANY", specify qty ____ )
Description:
Prize amount: 1st $____ 2nd $____ 3rd $____
total for this award $_______
Division: _______ Class #: __________________________________
Size: ___________ (if "ANY", specify qty ____ )
Description:
Prize amount: 1st $____ 2nd $____ 3rd $____
total for this award $_______
Division: _______ Class #: __________________________________
Size: ___________ (if "ANY", specify qty ____ )
Description:
Prize amount: 1st $____ 2nd $____ 3rd $____
total for this award $_______