adult lifetime 300 game and 800 series...
Post on 25-Jul-2018
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MEN’S PRESTIGE
Siladium® No Charge Golden Siladium $50.00 Siladium Two-Tone $200.00 10K Yellow Gold $625.00 14K Yellow Gold $875.00
LADIES’ PRESTIGE Siladium No Charge Golden Siladium $50.00 Siladium Two-Tone $160.00 10K Yellow Gold $425.00 14K Yellow Gold $525.00
LADIES’ PREMIER Siladium No Charge 10K Yellow Gold $315.00 14K Yellow Gold $400.00
Date BowledTwo lines of text (9 characters per line)
Number of timesscore bowled
STEP 1: Choose Your Ring Style
STEP 2: Choose Your Metal
STEP 3: Choose Your Side Personalization
STEP 4: Choose Your Top Options
PRESTIGE PANEL/STONE OPTIONSPRESTIGE TOP PIN OPTIONS LADIES’ PREMIER – Choose Your Stone
ADULT LIFETIME 300 GAME AND800 SERIES AWARDS
MEN’S PRESTIGE (Sizes 7 – 18)
300 GAME 800 SERIES
No Personalization(Standard) No Charge
Personalized Design $25.00
Lab-created Ruby 300 Game$25.00
Cubic Zirconia (Standard)No Charge
Genuine Amethyst 800 Series$25.00
Personalized Pin (3 characters)$10.00
Signet Panel(Standard)No Charge
Classic Pin(Standard)No Charge
300 Game 800 Series
10K Yellow Gold Panel
$75.00
Diamond Zenith-Set Stone
$150.00
Diamond- Accent Pin$60.00
CZ Zenith-Set Stone
$50.00
300 GAME 800 SERIES
LADIES’ PRESTIGE (Sizes 3 – 15)
300 GAME 800 SERIES
LADIES’ PREMIER (Sizes 3 – 15)
LADIES’ PREMIER Diamond Accent Stones $60.00
Siladium Two-Tone Prestige
800 Series Crystal Award
300 Game Plaque
800 Series Plaque
CRYSTAL AWARDSANDPLAQUES
Once your score has been certified, call Keepsake at 800-982-6515 to expedite your upgrade order.
300 Game Crystal Award
I verify that all information relative to the high score bowled is correct.Bowler's Signature: ____________________________________________________
Please ship award to: Directly to me at the above address Association League Official
Other:
X
2014-2015 ADULT HIGH SCORE APPLICATION: 300 Game and 800 Series.
Center Name: ______________________________ Center #: ______________________________
Center Address: ____________________________________________________________________
Competition Name: ________________________ Competition #: _________________________
Competition Official: ________________________________________________________________
Bowler's Name: ________________________________________________________________________ Bowler's ID#: ____________
Bowler's Address: ______________________________________________________________________ Date of Birth: ____________
_______________________________________________________________________________________
E-mail: ____________________________________ Day Phone: ________________________________
Bowler's Assn. Name: __________________________ Assn. Number: __________________________
Address City/State/Zip
Last Name First Name M.I.
City State Zip
Street Address Apt. #
Print Name Address City/State/Zip
Gender: Female Male
Bowled with: Right hand Left hand( )
Were all rules observed when score was bowled? Yes No (if no attach explanation)Was/were the game(s) pre/post bowled? Yes No
MM DD Year
Ball Manufacturer Ball Model
Game 1 Game 2 Game 3 Series Total Average No. of GamesDate Bowled: ______________________________ ______ ______ ______ ______ _______ _______
___________________________________________ _____________________ Serial Number on Ball: Yes No
Competition Official Signature: _________________________________________X
USBC LIFETIME ACHIEVEMENTS Approval can be found on bowl.com
ORDER CANNOT BE PROCESSED UNLESS ALL FIELDS ARE COMPLETE.
*NOTE: Once your achievement is approved, additional awards may be purchased at Keepsakebowling.com or at USBCBowlingAwards.com
300 Game 800 Series
Finger Size ___.___ (sizes 7-18)
Men’s Metal Choice (Choose one) Siladium No Charge Golden Siladium $50.00 Siladium Two-Tone $200.00 10K Yellow Gold $625.00 14K Yellow Gold $875.00
Standard Side No Charge Custom Side $25.00
Signet Panel No Charge
CZ Zenith Stone $50.00
10K Yellow Panel $75.00
Diamond Zenith Stone $150.00
Classic Pin No Charge
Personalized Pin $10.00
Diamond Accent Pin $60.00
Finger Size ___.___ (sizes 3-15)
Ladies’ Metal Choice (Choose one) Siladium No Charge Golden Siladium $50.00 Siladium Two-Tone $160.00 10K Yellow Gold $425.00 14K Yellow Gold $525.00
First lifetime achievement for this score. Please select award below.
Choose Your Award
Men’s Prestige Ring
Prestige Side Personalization (Choose one)
Prestige Panel/Stone Choice (Choose one)
No award requested for this achievement.
Prestige Top Pin Choice (Choose one)
Ladies’ Prestige Ring
Finger Size ___.___ (sizes 3-15)
Metal Choice (Choose one) Siladium No Charge 10K Yellow Gold $315.00 14K Yellow Gold $400.00
Premier Side Personalization (Choose one) CZ Accents No Charge Diamond Accents $60.00
Premier Center Stone Choice (Choose one) CZ (Standard) No Charge Lab-created Ruby (300 Game) $25.00 Genuine Amethyst (800 Series) $25.00
Ladies’ Premier Ring
Please note if this achievement is:
League Tournament Interscholastic Modified Format (scoresheet attached)Note: See USBC Playing Rule 3 for modified competition formats.
(Check one) Competition Type
Text Line 1:
Text Line 2:
Date Bowled: - -# of Times Score Bowled: ______
M M D D Y Y
Donation Options: Hall of Fame Earl Anthony Fund Bowlers to Veterans Link (BVL) Susan G. Komen for the Cure Youth Education Services (YES Fund)
Crystal Awards/Plaques:
300 Game Crystal Award
800 Series Crystal Award
300 Game Plaque
800 Series Plaque
Notify league processor within 48 hours of 300 game or 800 series. Application must be submitted to league processor within 20 days of score.
Multiple achievements. Do NOT select an award on this form. Please see NOTE* below.
(up to 3 characters in ALL CAPS)
(up to 9 characters in ALL CAPS)
(up to 9 characters in ALL CAPS)
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