2006-07 USCA Media Guide/Directory Information

My club is a member of the following region: At-Large Alaska Colorado Great Lakes Grand National Illinois Minnesota Mountain Pacific Nebraska North Dakota Washington Wisconsin

Club name:

Club address:    

Club mailing address (if different):

Club phone #:   Club fax #:

Club email:   Website:

Contact information -- PRESIDENT

Name:

Address:

Home phone: Cell phone: Work phone:

Fax #: Email: Alternate email:

Contact information -- VICE PRESIDENT

Name:

Address:

Home phone: Cell phone: Work phone:

Fax #: Email: Alternate email:

Contact information -- TREASURER

Name:

Address:

Home phone: Cell phone: Work phone:

Fax #: Email: Alternate email:

Contact information -- SECRETARY

Name:

Address:

Home phone: Cell phone: Work phone:

Fax #: Email: Alternate email:

Contact information -- DONATION PROGRAM CHAIRPERSON

Name:

Address:

Home phone: Cell phone: Work phone:

Fax #: Email: Alternate email:

Contact information -- MEDIA COORDINATOR

Name:

Address:

Home phone: Cell phone: Work phone:

Fax #: Email: Alternate email:

Contact information -- YOUTH CURLING COORDINATOR

Name:

Address:

Home phone: Cell phone: Work phone:

Fax #: Email: Alternate email:

Contact information -- TRAINING/EDUCATION CHAIRPERSON

Name:

Address:

Home phone: Cell phone: Work phone:

Fax #: Email: Alternate email:

INSERT BONSPIEL INFORMATION BELOW:

Type of bonspiel: Men's Women's Mixed Open Senior Cashspiel Junior

Date of bonspiel: Name of bonspiel:

Type of bonspiel: Men's Women's Mixed Open Senior Cashspiel Junior

Date of bonspiel: Name of bonspiel:

Type of bonspiel: Men's Women's Mixed Open Senior Cashspiel Junior

Date of bonspiel: Name of bonspiel:

Type of bonspiel: Men's Women's Mixed Open Senior Cashspiel Junior

Date of bonspiel: Name of bonspiel:

Type of bonspiel: Men's Women's Mixed Open Senior Cashspiel Junior

Date of bonspiel: Name of bonspiel:

To submit this form to the USCA, click here:

Send any questions/comments about this form to: Terry Luder, USA Curling, terry.luder@usacurl.org

Information for the 2006-07 USCA Media Guide & Directory must be received at the USCA office by August 4. Submissions turned in after this date will only be added to the USCA website, not the Media Guide & Directory.