Western Regional Button Associaion
Award Submission Form
Donor's name______________________________ (Be a WRBA member!) Telephone# __________________________ Check enclosed $______________ (payable to WRBA)
Awards may be emailed.
Deadline is December 15, 2009.
A check payable to WRBA should be mailed to:
Tom Barrans
WRBA Awards Chair
P.O. Box 2556, Oakhurst, CA USA 93644.
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 $_______