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usa powerlifting northeast usa regional bench press

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USA POWERLIFTINGNORTHEAST USA REGIONALBENCH PRESS & POWERLIFTING CHAMPIONSHIPSSaturday and Sunday – October 17 & 18, 2009King of Prussia, Pennsylvania [Suburbs North of Philadelphia]Officially Sanctioned USA Powerlifting ChampionshipOFFICIAL TEAM ENTRY FORMFULL TEAM NAME: ______________________________________________________________________HEADCOACH: ____________________________________MANAGER: ____________________________PHONE: _________________________USAPL Team Registration Number: ________ Expiration: ______TEAM ENTRY FEETeam entry fees are $60.00 for each division (e.g., one men's and one women's team would be $60.00 eachtotaling $120.00). Also, you may have multiple team entries (e.g., Team A and Team B, in one division).Additionally, each team member must fully complete an individual entry form and forward theappropriate entry fees (see reverse side).TEAM ROSTER12No. Lifter Weight Class USAPL Card #:1234567891011ALTERNATESTEAM SCORINGEach team is allowed a maximum of 11 lifters spread throughout the range of the 11-bodyweight categories for men and 10 liftersthroughout the range of 10 bodyweight categories for women. Each team is allowed a maximum of two alternates. These alternatesmay be substituted at any time prior to the commencement of the weigh-in for a particular bodyweight category. Team scoring willbe calculated in accordance with USAPL rules.ALL TEAM ROSTERS MUST BE RECEIVED BY 7:00 AM THE MORNINGOF OCTOBER 17, 2009 FOR DECLARATION INTO THE CHAMPIONSHIP

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