2008 REGISTRATION CARD

PLEASE PRINT  Complete Form and Mail to Address Below
UMPIRE # UMPIRE ASSN:
Name (First, Last) Date: (Mo/Day/Yr)
Street Address Phone: (         ) -
City, State, Zip Code County:
Are you interested in working:
Adult
Youth
State Tournament Series
 Fast Pitch
Modified Pitch
Slow Pitch
All
Gender       M   F

E-mail  __________________________________
     
2007 Umpire Registration Fees
Adult Umpire…(18 Years & Older).........……$45.00
Youth Umpire .(Under 18 Years Old)..………$20.00		 Make fee registration check to: Wisconsin ASA
send fee and card to:

Richard J Buskov
State UIC
34 Belmont Rd
Madison WI 53714
CIRCLE YOUR DISTRICT
NORTHWEST SECTION
District #1 – Douglas, Bayfield, Ashland
District #2 – Burnett, Polk, St. Croix
District #3 – Washburn, Sawyer, Barron, Rusk
District #4 – Dunn, Pierce, Pepin
District #5 – Chippewa, Eau Claire

NORTH CENTRAL SECTION
District #6 – iron, Vilas, Oneida
District #7 – Price, Taylor, Clark
District #8 – Lincoln, Marathon
District #9 – Forest, Florence, Langlade
District #10 – Wood, Portage		 NORTHEAST SECTION
District #11 – Marinette, Oconto, Menomonee
District #12 – Shawano, Waupaca, Outgamie
District #13 – Brown, Door, Kewaunee
District #14 – Waushara, Winnebago, Marquette,
Green Lake, Fond du Lac
District #15 – Calumet, Manitowoc, Sheboygan

SOUTHEAST SECTION
District #26 – Washington, Ozaukee
District #27 – Waukesha
District #28 – Milwaukee
District #29 – Racine
District #30 – Kenosha
 SOUTHWEST SECTION
District #16 – Buffalo, Trempealeau, Jackson
District #17 – LaCrosse, Monroe
District #18 – Juneau, Adams, Sauk
District #19 – Vernon, Crawford, Richland
District #20 – Grant, Iowa, LaFayette

SOUTH CENTRAL SECTION
District #21 – Columbia, Dodge
District #22 – Dane
District #23 – Jefferson, Walworth
District #24 – Green, Rock

 

 

 

 

 

 

 

 

 

ASA / WASA UMPIRE EQUIPMENT & UNIFORMS
 

Uniform and equipment orders are now ready to be sold by your State UIC.

Richard Buskov
608-770-1904 cell phone
e-mail rbuskov@charter.net
 

I accept Checks and cash. 

Credit Card Order’s, we accept these cards:
Master Card, Visa Card, Discover Card

Remember state tax and shipping costs will be added to your orders.

I will not be carrying a large stock of items so every thing will be ordered, but will be shipped within 3 working days.  When ordering, use your full name and shipping address and form of payment.  Include your telephone number and e-mail address.

If you are not in my local area your area UIC’s will also be handling some items for your needs, so check with your UIC.

State UIC and President WASA

Richard J. Buskov jr.