2018 USTA Women's Intersectional Team Event

USTA SECTION *

AGE DIVISION *

35 (3 singles/ 2 doubles - Min 4 / Max 7 players) 45 (3 singles/ 2 doubles - Min 4 / Max 7 players) 55 (3 singles/ 2 doubles - Min 4 / Max 7 players) 65 (3 singles/ 2 doubles - Min 4 / Max 7 players) 75 (2 singles/ 2 doubles - Min 4 / Max 7 players) 80 (1 singles/ 2 doubles - Min 4 / Max 7 players) 85 (1 singles/ 1 doubles - Min 2 / Max 5 players)

Please list all players by "SINGLES STRENGTH" on this roster even if they are not expected to play singles.

TEAM ROSTER

	First Name	Last Name	USTA Number	Email Address	Tshirt Size	2020 Nat. Ranking	2020 Sec. Ranking	Doubles Strength
1
2
3
4
5
6
7

FORM SUBMITTED BY:

Name *

First Name Last Name

Email *

example@example.com

Cell Number *

Area Code Phone Number

Are you Team Captain? *

Yes No

If No, who is team captain?

Type captain's name, email and cell phone

Payment Options *

Pay Online Below Mail In Check

ENTRY FEE: The entry fee will be $130 per player and non-playing captain which includes the tournament and lunch package (4 lunches). Early Bird Registration special of $110 per player if team entry received no later than September 1, 2021

PAYMENT OPTIONS:

ELECTRONICALLY - TO PAY ENTRY FEES ELECTRONICALLY: ENTER TOTAL NUMBER OF PLAYERS AND THEN CLICK SUBMIT. YOU WILL BE TAKEN TO A PAYPAL LINK WHERE YOU CAN CHOOSE TO ENTER A CREDIT/DEBIT CARD OR SIGN IN TO USE A PAYPAL ACCOUNT.

IF PAYING BY CHECK, SELECT 0 BELOW AND MAKE CHECK PAYABLE TO USTA SOUTHWEST / 7010 E. ACOMA DRIVE / SCOTTSDALE, AZ 85254 - PLEASE NOTE THE SECTION AND AGE DIVISION ON CHECK.

Players	if received by 9/1	if received after 9/1
1	$110	$130
2	$220	$260
3	$330	$390
4	$440	$520
5	$550	$650
6	$660	$780
7	$770	$910

My Products

Per Player Fee $ 110.00

Quantity
Item subtotal: $ 0.00

Total $ 0.00

2021 USTA Women's Intersectional Team Event