
Please Use one Form to Sign up multiple teams in Tournament.
*Put Team Names, Managers Name, Managers Email (Use Comment Block Below if Needed!)*
Team Name 1:	Manager Name 1:	Manager Email 1:
Team Name 2:	Manager Name 2:	Manager Email 2:
Team Name 3:	Manager Name 3:	Manager Email 3:
Team Name 4:	Manager Name 4:	Manager Email 4:
Team Name 5:	Manager Name 5:	Manager Email 5:
Team Name 6:	Manager Name 6:	Manager Email 6:
Team Name 7:	Manager Name 7:	Manager Email 7:
Team Name 8:	Manager Name 8:	Manager Email 8:
Team Name 9:	Manager Name 9:	Manager Email 9:
Team Name 10:	Manager Name 10:	Manager Email 10:
Team Name 11:	Manager Name 11:	Manager Email 11:
Team Name 12:	Manager Name 12:	Manager Email 12:
Team Name 13:	Manager Name 13:	Manager Email 13:
Team Name 14:	Manager Name 14:	Manager Email 14:
Team Name 15:	Manager Name 15:	Manager Email 15:
Team Name 16:	Manager Name 16:	Manager Email 16:

* Comments

* Additional Insured Names, and Addresses
Additional Insured Name 1:	Additional Insured Address 1:	City, State, Zipcode:
Additional Insured Name 2:	Additional Insured Address 2:	City, State, Zipcode 2:
Additional Insured Name 3:	Additional Insured Address 3:	City, State, Zipcode 3:
Additional Insured Name 4:	Additional Insured Address 4:	City, State, Zipcode 4:
Additional Insured Name 5:	Additional Insured Address 5:	City, State, Zipcode 5:
Additional Insured Name 6:	Additional Insured Address 6:	City, State, Zipcode 6:


Insurance Cost:	# of Teams:	Times	Cost Per Team:	$	=	Total Cost:	$
Annual NASF Team Registration:	# NASF Teams:	Times	$10.00 Per Team:		=	NASF Registration Cost:	$

The annual $10.00 NASF membership fee per team or official will be collected with your insurance enrollment.

Make Check payable to:	For Credit Card Information:
Special Markets Insurance Consultants 2615 Post Road Stevens Point, WI 54481 Email: NASF@specialmarkets.com	Special Markets Insurance Consultants 2615 Post Road Stevens Point, WI 54481 Phone: 800-727-7642 ext 311 Fax: 715-344-6126