Candidate Form
Petersburg District USBC Bowling Association, Inc.
Hall of Fame
The following Candidate is submitted for consideration for the Petersburg District USBC Bowling Association Hall of Fame in the following category:
Meritorious Service o Bowling Achievement o
Submitted By: __________________________ TEL: _______________________
NAME:
ADDRESS:
CITY, STATE, ZIP:
NUMBER OF YEARS A MEMBER OF THE PDBA:
BOWLED IN THE PDBA CITY CHAMPIONSHIP TOURNAMENT: YES o NO o
HOW MANY? ___________
LEAGUES PARTICIPATED IN:
ANY OFFICES HELD:
BOWLING ACHIEVEMENTS:
REASON YOU FEEL APPLICANT IS QUALIFIED:
PLEASE USE BACK OF FORM FOR ADDITIONAL SPACE IF NEEDED
Return Completed Form to any PDBA Board Member or Mail to:
Floyd Akins 12200 Richmond Street Chester, VA 23831