| Entry Form | |
| Puzzle Challenge of West Michigan | |
| Grand Haven /Spring Lake area | |
| Name of Team | _______________________________________________________ |
| Team Members | _______________________________________________________ |
| _______________________________________________________ | |
| _______________________________________________________ | |
| _______________________________________________________ | |
| _______________________________________________________ | |
| _______________________________________________________ | |
| Please include a phone number in case your team needs to be contacted | |
| Phone #: | ____________________________________ |
| Mail completed form to: | Puzzle Challenge Entry |
| Attn: Chris Manzo | |
| 13371 Greenbriar Dr | |
| Grand Haven, MI 49417 | |
| UPDATE! | |
| The Deadline for Submitting Entry Forms is February 18, 2008 | |
| (Please continue to collect pledges until the day of the event) | |