MEN’S PRESTIGE Siladium® No Charge Golden Siladium $50.00 Siladium Two-Tone $200.00 10K Yellow Gold $625.00 14K Yellow Gold $875.00
WOMEN’S PRESTIGE Siladium No Charge Golden Siladium $50.00 Siladium Two-Tone $160.00 10K Yellow Gold $425.00 14K Yellow Gold $525.00
WOMEN’S PREMIER Siladium No Charge 10K Yellow Gold $315.00 14K Yellow Gold $400.00
Date BowledTwo lines of text (9 characters per line)
Number of timesscore bowled
STEP 1: Choose Your Ring Style
STEP 2: Choose Your Metal
STEP 3: Choose Your Side Personalization
STEP 4: Choose Your Top Options
PRESTIGE PANEL/STONE OPTIONS PAVÉ PANEL DESIGNSPRESTIGE TOP PIN OPTIONS
ADULT LIFETIME 300 GAME AND800 SERIES AWARDS
MEN’S PRESTIGE (Sizes 7 – 18)
300 GAME 800 SERIES
No Personalization(Standard) No Charge
Personalized Design $25.00
Siladium Siladium Siladium Golden Siladium Golden Siladium 10K Yellow Gold Siladium Two-Tone Siladium Two-Tone 14K Yellow Gold
10K Yellow Gold 14K Yellow Gold 14K Yellow Gold
Personalized Pin(3 characters)$10.00
Signet Panel(Standard)No Charge
Pavé Panel
Pavé Panel
Classic Pin(Standard)No Charge
300 Game300 Game
800 Series800 Series
10K Yellow Gold Panel
$75.00
Diamond Zenith-Set Stone
$150.00
Diamond-Accent Pin$60.00
CZ Zenith-Set Stone
$50.00
10K Yellow Gold
300 GAME 800 SERIES
WOMEN’S PRESTIGE (Sizes 3 – 15)
300 GAME 800 SERIES
Lab-created Ruby300 Game$25.00
Genuine Amethyst 800 Series$25.00
StandardNo Charge
WOMEN’S PREMIER (Sizes 3 – 15)
WOMEN’S PREMIER Diamond Accent Stones $60.00 Diamond Accent Stones
Siladium Two-Tone Prestige
800 Series Crystal Award
300 Game Plaque
800 Series Plaque
CRYSTAL AWARDSANDPLAQUES
Once your score has been certifi ed, call Keepsake at 800-982-6515 to place your upgrade order.
Women’s styles only have two diamonds.To add this top panel to an existing Prestige ring, please contact
Keepsake at 1-800-982-6515 once your achievement is approved.
Honor your multiple achievement with the 300 or 800 Multiple Top
Call USBC at 800-514-2695 to place your Crystal Awards and Plaques order. keepsakebowling.com
300 Game Crystal Award
DiamondSS - $60
10K - $100
DiamondSS - $60
10K - $100
CZSS - $4010K - $60
CZSS - $4010K - $60
I verify that all information relative to the high score bowled is correct.Member Signature: _______________________________________________
Please ship award to: Directly to me at the above address Association League Official
Other:
X
USBC 2019 - 2020 ADULT HIGH SCORE APPLICATION: 300 Game and 800 Series.
Center Name: __________________________ Center #: __________________________
Center Address: ___________________________________________________________
Competition Name: ______________________ Competition #: ______________________
Competition Official: ________________________________________________________
Member Name: ________________________________________________________________ Member ID#: ___________
Member Address: ______________________________________________________________ Date of Birth: ___________
_____________________________________________________________________________
E-mail: ________________________________ Day Phone: _____________________________
Member Assn. Name: _______________________ Assn. Number: _______________________
Address City/State/Zip
Last Name First Name M.I.
City State Zip
Street Address Apt. #
Print Name Address City/State/Zip
Gender: Female Male
Bowled with: Right hand Left hand( )
Were all rules observed when score was bowled? Yes No, (if no attach explanation)Was/were the game(s) pre/post bowled? Yes No
MM DD Year
Ball Manufacturer Ball Model
Game 1 Game 2 Game 3 Series Total Average No. of GamesDate Bowled: ___________________________ ______ _____ _____ _____ ______ ______
______________________________________ ___________________ Serial Number on Ball: Yes No
Competition Official Signature: ____________________________________X
USBC LIFETIME ADULT ACHIEVEMENTS Approval can be found on bowl.com
ORDER CANNOT BE PROCESSED UNLESS ALL FIELDS ARE COMPLETE.
*NOTE: Once your achievement is certified, additional awards may be purchased at Keepsakebowling.com, USBCBowlingAwards.com, or by calling 1-800-514-2695
300 Game 800 Series
Finger Size ___.___ (sizes 7-18 whole and half sizes available)Men’s Metal Choice (Choose one) Siladium No Charge Golden Siladium $50.00 Siladium Two-Tone $200.00 10K Yellow Gold $625.00 14K Yellow Gold $875.00
Standard Side No Charge Custom Side $25.00
Signet Panel No Charge CZ Zenith Stone $50.00 10K Yellow Panel $75.00 Diamond Zenith Stone $150.00
Classic Pin No Charge Personalized Pin $10.00
Diamond Accent Pin $60.00
Finger Size ___.___ (sizes 3-15 whole and half sizes available)Women’s Metal Choice (Choose one) Siladium No Charge Golden Siladium $50.00 Siladium Two-Tone $160.00 10K Yellow Gold $425.00 14K Yellow Gold $525.00
First adult lifetime achievement for this score. Please select award below.
Choose Your Award
Men’s Prestige Ring
Prestige Side Personalization (Choose one)
Prestige Panel/Stone Choice (Choose one)
No award requested for this achievement.
Prestige Top Pin Choice (Choose one)
Women’s Prestige Ring
Finger Size ___.___ (sizes 3-15 whole and half sizes available)Upgrades Available: 10K Yellow Gold $315.00 14K Yellow Gold $400.00 Diamond Accents $60.00 Lab-created Ruby (300 Game) $25.00 Genuine Amethyst (800 Series) $25.00
Women’s Premier Ring in Siladium with CZ stones
300 800 Bowling Ball Design or Number ____ Sterling Silver with CZ $40 Sterling Silver with Diamond $60 10K Yellow Gold with CZ $60 10K Yellow Gold with Diamonds $100
Multiple Design Pavé Panel
Please note if this achievement is:
League Tournament Interscholastic Modified Format (scoresheet attached)Note: See USBC Playing Rule 3 for modified competition formats.
(Check one) Competition Type
Text Line 1:
Text Line 2:
Date Bowled: - -# of Times Score Bowled: ______
M M D D Y Y
Donation Options: Hall of Fame Earl Anthony Fund Bowlers to Veterans Link (BVL) Susan G. Komen for the Cure Youth Education Services (YES Fund)
Crystal Awards/Plaques: 300 Game Crystal Award
800 Series Crystal Award
300 Game Plaque
800 Series Plaque
Notify league processor within 48 hours of 300 game or 800 series. Application must be submitted to league processor within 20 days of score.
Multiple achievements. (additional fees will apply)Do NOT select an award on this form. Please see NOTE* below.
(up to 3 characters in ALL CAPS)
(up to 9 characters in ALL CAPS)
(up to 9 characters in ALL CAPS)
KS208-0518.29275
To add this top panel to an existing Prestige ring, please contact Keepsake at 1-800-982-6515 once your achievement is approved.