Name of School _______________________________
Name of Coach(es) ____________________________
Mailing Address: Approximate No. of Students you will bring: _________
Will you be able to bring a working buzzer set? ______
Telephone No. Where You can be reached during school hours: E-mail address (if applicable) _____________________
Please send this form, along with a $30.00 check payable to "Benton High School
Scholar Bowl", to
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We will send correspondence to this address:
_______________
_______________
c/o John Sweazy
511 East Main St.
Benton, IL 62812
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