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Fillable Printable VA Form 0927a

Fillable Printable VA Form 0927a

VA Form 0927a

VA Form 0927a

OMB Number: 2900-0759
Respondent Burden: 13 minutes
NATIONAL VETERANS TEE TOURNAMENT
REGISTRATION CHECK LIST
RESPONDENT BURDEN: The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in accordance with the
clearance requirements of Section 3507 of the Paperwork Reduction Act of 1995. We may not conduct or sponsor, and you are not required to respond
to, a collection of information unless it displays a valid OMB number. We anticipate that the time expended by all individuals who must complete this
application will average 13 minutes. This includes the time it will take to read instructions, gather the necessary facts and fill out the forms.
PLEASE ENSURE THE ENCLOSED PACKET IS COMPLETELY AND CORRECTLY
FILLED OUT OR YOUR APPLICATION CANNOT BE PROCESSED.
NAME (First, MI, Last)
PLEASE INCLUDE THE FOLLOWING FORMS:
REGISTRATION APPLICATION (Filled out by participant) (VA Form 0925SF)
PARTICIPANT PHYSICAL EXAM (Filled out and signed by a medical examiner) (Form 0927c)
CONSENT FOR USE OF PICTURE (VA Form 10-3203)
PARTICIPANT/COMPANION/VOLUNTEER REGISTRATION (Form 0927e)
CHECK OR MONEY ORDER - DO NOT SEND CASH
PLEASE MAIL COMPLETED REGISTRATION FORMS, INCLUDING YOUR CHECK OR MONEY ORDER TO:
QUESTIONS, PLEASE CALL:
YOU WILL RECEIVE A CONFIRMATION LETTER ONCE YOUR APPLICATION HAS BEEN ACCEPTED.
VA FORM
FEB 2014
0927a
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