ACME 2021 ACS Nationals Women's 9-Ball Team

2021 ACS National Championships

WOMEN'S 9-BALL TEAM ENTRY

May 19-20, 2021 (MORNINGS)

Please enter your information to reserve your entry into the competition.
NOTE: Entry is NOT official until payment is received.

LEAGUE INFORMATION

League Name

League #

League Operator

City

State/Prov.

Contact Phone Number:

Team Name

Division Name (if different than league name)

[PLEASE ATTACH A COPY OF YOUR LEAGUE STATS VERIFYING ELIGIBILITY!] Max File Size is 2MB

Upload a File

CAPTAIN INFORMATION

First Name

Last Name

Address

City

State/Prov

Zip/Postal Code

Country

Phone

000-000-0000

Cell Phone

000-000-0000

Email Address

Team Played on during session

Session Played In:

PLAYER 1

First Name

Last Name

City

State

Contact Phone

000-000-0000

Email Address

Team Played on during session

Session Played In:

PLAYER 2

First Name

Last Name

City

State

Contact Phone

000-000-0000

Email Address

Team Played on during session

Session Played In:

PLAYER 3

First Name

Last Name

City

State

Contact Phone

000-000-0000

Email Address

Team Played on during session

Session Played In:

PLAYER 4

First Name

Last Name

City

State

Contact Phone

000-000-0000

Email Address

Team Played on during session

Session Played In:

PLAYER 5

First Name

Last Name

City

State

Contact Phone

000-000-0000

Email Address

Team Played on during session

Session Played In:

PAYMENT INFORMATION

Payment (check one)

Check (see below) Cashier's Check (see below) Money Order Credit Card / Paypal with form submission

Tropicana Hotel Room Booking Confirmation # (REQUIRED if “Yes” below):

MUST RESERVE HOTEL AT TROPICANA ONLINE: PLEASE CLICK HERE TO GO TO RESERVATIONS

If NOT staying at the Tropicana, $75 will be added to each Entry Fee!
Every entry fee also includes a $25/player greens fee! Pool tables will be Open!!

EARLY BIRD ENTRY FEE:

Postmark Deadline: 1/30/21

COUNTRY REGISTERING FROM (PLEASE SELECT): *

Divisions

Women's 9-Ball Open $ 195.00

Tropicana Hotel Reservation

Women's 9-Ball Advanced $ 195.00

Tropicana Hotel Reservation

Subtotal $ 0.00 Tax $ 0.00 Total $ 0.00

By submitting this form I verify that my teammates and I are both current eligible members in leagues (may be from separate ACS leagues) sanctioned with the American CueSports Alliance, Canadian Cue Sport Assn. or MPA and that we are not professional players by definition of the ACS. We have read and agree to abide by the rules and regulations for Team Competition and to all other regulations implemented by the American CueSports Alliance. Also by submitting this entry form on behalf of myself and my teammates, I am giving our express permission for the ACS to use our photograph for reporting and promotional purposes. ALL TEAM ENTRIES MUST BE SUBMITTED THROUGH YOUR LEAGUE OPERATOR.

Important! For entries postmarked after March 22, 2021, only Traveler's Checks, Cashier's Checks, Money Orders or Credit Cards will be accepted.

All name changes or additions should be submitted to the ACS League Office no later than May 5, 2021.

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 May 5, 2021. All refunds will be charged a $10.00 handling fee. All refunds will be mailed after the tournament.
NO EXCEPTIONS!