2003 NBC “HAP Dumont” 12 Year Old WORLD SERIES Team Information for World Series Program Professional Souvenir Program for World Series Event. To assure that your team is listed in this highly sought after Souvenir Program. please submit the following information by the deadline below. The following info must be submitted by July 13, 2005 or your team will not be listed in the 2005 National Baseball Congress “HAP” Dumont World Series program. BPRD WILL ALSO NEED A BLACK AND WHITE 5X7 TEAM PICTURE AND PLEASE PRINT THIS PAGE AND MAIL TO: Attention: Bartlett Parks and Recreation Department JANICE DURBIN 7266 THIRD ROAD BARTLETT, TN 38135 Office: 901-385-5592 FAX: 901-213-4618 Team Name: Home City: Home State: Manager Name: Assistant Coach: Assistant Coach: Season Record Wins/Loses: Players Names should be listed in order of Bottom Row Left to Right, Middle Row Left to Right, Top Row Left to Right Player Name: Player Name: Player Name: Player Name: Player Name: Player Name: Player Name: Player Name: Player Name: Player Name: Player Name: Player Name: Player Name: Player Name: Player Name: Player Name: Player Name: Type Your Message Here: You can contact Janice Durbin by filling out the form below and clicking the 'SEND' button when the form is complete. NOTE: If you do not have Internet Client-side mail you will NOT be able to use this form. However, you can send a message to " jdurbin@cityofbartlett.org" via your internet mail (ie Yahoo, Hotmail, etc).

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