Aug. 14-15, 2009 Tournament-Lakeland, Florida Last Name * First Name * Email Address * Gender Male Female Home Phone Number * Cell Phone Number Address-Line 1 * Address-Line 2 City * Zip Code State * -Select-ALAKARAZCACOCTDCDEFLGAHIIDILINMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORRISCSDTNTXUTVTVAWAWVWIWY Date Of Birth [MM/dd/yyyy] USATT Membership Number USATT Rating USATT Expiration Date Primary Club Where You Play Tournament Event (Check The Event(s) Entered) * Colossal Round Robin Singles ($35) Hard Bat Singles ($8) Sandpaper Singles (Free) Doubles ($8 Each Player) Name of Doubles Partner USATT Rating Fee (Required by USATT) * USATT Rating Fee ($5)-REQUIRED USATT Membership Purchase Adult-One Year-$40 Adult-Three Year-$105 Junior-One Year-$20 College-One Year-$20 Household-One Year-$60 1st Time-Tournament Pass-$10 Total Amount Due (add amounts above) USD Make Payment To: LTTA Mail Payment To: Ray Spann 404 Lake Lena Blvd., Auburndale, FL 33823-2935 Verification Code (enter the characters you see in the above picture) View Error Details Powered by
Mail Payment To: Ray Spann 404 Lake Lena Blvd., Auburndale, FL 33823-2935
