PREMIUM 300 GAME AND

800 SERIES AWARDS

11 IN A ROW AWARD ON BACK
LADIES PREMIER (Sizes 3 15)

STEP 1: Choose Your Style

LARGE GRAND (Sizes 7 18) 300 GAME

SMALL GRAND (Sizes 3 15) 300 GAME

300 GAME

800 SERIES

800 SERIES

800 SERIES

STEP 2: Choose Your Metal

LARGE GRAND Siladium No Charge Golden Siladium $50.00 10K Yellow Gold $800.00 14K Yellow Gold $1160.00

SMALL GRAND Siladium No Charge Golden Siladium $50.00 10K Yellow Gold $500.00 14K Yellow Gold $660.00

LADIES PREMIER Siladium No Charge 10K Yellow Gold $315.00 14K Yellow Gold $400.00

STEP 3: Choose Your Side Personalization

Two lines of text (10 characters each)

No Personalization No Charge

LADIES PREMIER Diamond Accent Stones

$60.00

Date Bowled

Number of times score bowled

Personalized Design $25.00

STEP 4: Choose Your Top Options

LARGE & SMALL GRAND Signet Panel No Charge
(Standard)

LADIES PREMIER Choose Your Stone Semi-precious Panel $60.00 Ladies Premier No Charge Lab-created Ruby 300 Game $25.00 Genuine Amethyst 800 Series $25.00
(Standard)

Gold-Inlaid Stone* $35.00

*The color of the gold-inlaid stone will match the color of your ring.

Diamond Pav Panel $120.00

Small has 7 diamonds. Large has 9 diamonds.

After your award is certified, Keepsake will contact you directly for payment. Please provide daytime contact information to expedite your order. Once you receive your letter confirming your award certification, you may contact Keepsake directly at 1-800-982-6515 to expedite your upgraded award.
keepsakebowling.com SEE BACK SIDE FOR ORDER FORM

Notify league processor within 48 hours of 300 game or 800 series. Application must be submitted to league processor within 20 days of score.

Order can not be processed unless all fields are complete. HIGH SCORE APPLICATION: for 11-in-a-row, 300, 800. Center Name: _____________________________ Center #: ______________________________ Center Address: ___________________________________________________________________ Competition Name: ________________________ Competition #: _________________________ Competition Official: _______________________________________________________________
Print Name Address City/State/Zip Address City/State/Zip

Competition Type
League Tournament Interscholastic

(Check one)

Bowler's Name: _______________________________________________________________ Bowler's ID#: _______________ Bowler's Address: _____________________________________________________________ Date of Birth: _______________ ______________________________________________________________________________ Membership: Adult Youth
Street Address Apt. # Last Name First Name M.I.

) E-mail: ____________________________________ Day Phone: (________________________ Gender:

Female Bowler's Assn. Name: _________________________ Assn. Number: __________________ Male

City

State

Zip

Bowled with:
Right hand Left hand
No. of Games

Date Bowled: ______________________________

MM DD Year

______ ______
Game 1 Game 2 Ball Model

Game 3

______

Series Total

______

_______
Average

_______

___________________________________________
Ball Manufacturer

_____________________

Serial Number on Ball:

Yes Yes

Were all rules observed when score was bowled?

Yes

No

No (if no attach explanation) No

X Competition Official Signature: ________________________________________

USBC Youth members have the obligation to be aware of any restrictions that may be in place by his/her high school athletic associations that may affect any outside competitions they could compete in or limitations on awards that they may earn. Note: See USBC Playing Rule 3 for modified competition formats.

Was the game(s) pre/post bowled?

Please ship award to:

Directly to me at the above address Association League Official Other:

X Bowler's Signature: ______________________________________________

I verify that all information relative to the high score bowled is correct.

2012 2013 SEASON ADULT & YOUTH APPLICATION

USBC ACHIEVEMENTS Approval can be found on bowl.com Choose Your Award (11 in a row awards below)
Free Siladium award rings are only provided for the first award per accomplishment for the season. You may order a ring for your accomplishment after your first free ring; however, a $75 fee wll apply.

300 Game

800 Series

Ring Choices
GRAND Large (Sizes 7 18)
LARGE GRAND SMALL GRAND LADIES PREMIER

GRAND Small (Sizes 3 15)

Ladies Premier (Sizes 3 15) 14K Yellow Gold $1160.00 14K Yellow Gold $660.00

Choose Your Metal

Siladium No Charge Siladium No Charge Siladium No Charge Golden Siladium $50.00 Golden Siladium $50.00 10K Yellow Gold $315.00 10K Yellow Gold $800.00 10K Yellow Gold $500.00 14K Yellow Gold $400.00

Choose Your Side Personalization GRAND

Standard No Personalization (No Charge) Line 1 Personalization (Addl Charge) Two lines of text 10 char. each $25.00 (must have at least one line of personalization) Line 2

Number of Times Score Bowled: _____________

Signet Standard (No Charge) Standard (No Charge) Gold Inlaid Stone $35.00

Date Bowled:

M M

Choose Your Top Option GRAND

Semi Precious Panel $60.00 Diamond Panel $120.00 Diamond Accent Stones $60.00

Choose Your Stone Ladies Premier

Lab-created Ruby 300 Game $25.00 Genuine Amethyst 800 Series $25.00

Finger Size 11 In A Row 300 800

(whole and half sizes only)

Members are eligible for one award per accomplishment each season. If you have received an award for the same accomplishment, please choose Multiple.

If not selecting a ring, please select one of the following

800 Series Plaque Multiple No Award Scholarship (Youth Only)

11 In A Row Crystal Award

300 Game Plaque

OR Donate to:
Hall of Fame Earl Anthony Fund Bowlers to Veterans Susan G. Komen for the Cure

KS200 - 0812.19354 2012 Commemorative Brands, Inc. All rights reser ved.