MAIL THIS FORM TO:
AMERICAN CUESPORTS ALLIANCE
101 S. Military Ave., Suite P - #131
Green Bay, WI 54303 / USA
or FAX TO: 920-662-1706
Refund requests must be in writing and in the ACS office by TOURNAMENT ENTRY January 15, 2021. All refunds will be charged a $10.00 handling fee. All refunds will be mailed after the tournament.
By submitting this form I verify that I am a current member of the American CueSports Alliance and not a professional player by definition of the ACS. I have read and agree to abide by the rules and regulations and to all other regulations implemented by the American CueSports Alliance. I am also giving my express permission for the ACS to use my photograph for reporting and promotional purposes.