Women of Wellington (WOW) Polo Series Official Tournament Entry Form

Women of Wellington (WOW) Polo Series Official Tournament Entry Form

10-14 Goal
USPA Women’s Challenge Circuit Event
Tournament Dates: January 6 - 17, 2025
Closing Date: December 2, 2024

USPA Brad & Kathy Coors Foundation Women's Challenge Circuit Event
Tournament Dates: February 11 - March 7, 2025
Closing Date: January 6, 2025

USPA Tabebuia Hosted at Port Mayaca Polo Club
Tournament Dates: March 10 - March 29, 2025
Closing Date: February 3, 2025
Please select the tournaments you plan to enter.

USPA Women's Challenge Circuit Event (Jan 6 - 17)USPA Brad & Kathy Coors Foundation Women's Challenge Circuit Event (Feb 11 - Mar 7)USPA Tabebuia Hosted at Port Mayaca Polo Club (Mar 10 - 29)
Team Name
Players
1. First Name Last Name USPA Women's Handicap:
2. First Name Last Name USPA Women's Handicap:
3. First Name Last Name USPA Women's Handicap:
4. First Name Last Name USPA Women's Handicap:
ENTRY FEES: $6500 per tournament in full by Closing Date below

Tournament 1: December 2, 2024
Tournament 2: January 6, 2025
Tournament 3: February 3, 2025

* US Polo Assn provides custom jerseys for every team which requires an early closing date for production
Signature of Team Captain or Representative

Clear
Date

MonthDayYear
Date
Printed Name

WOW Polo Series Payment Details

Domestic Wire

The Northern Trust Company
Chicago, IL
Routing 071000152

WOW Polo Series, Inc.
PO Box 2110
Middleburg, VA 20118
Account 3802551796

International Wire

The Northern Trust Company
Chicago, IL
ABA 071000152
SWIFT CNORUS44

WOW Polo Series, Inc.
PO Box 2110
Middleburg, VA 20118
Account 3802551796

Mail Checks

PO Box 2110
Middleburg, VA 20118

Players