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.