USBC PRIZE CHECK REPLACEMENT FORM

PRIZE CHECK REPLACEMENT FORM

USBC Open Championships / USBC Women's Championships 621 Six Flags Drive, Arlington, TX 76011
To pick a tournament, please choose from the drop down menu.

Year*
USBC Open Championships
Payee's Name*

First NameLast Name
USBC Member ID# * - *
Please list the correct mailing address for the replacement check:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Payee Email*
example@example.com
Payee Phone Number
Please enter a valid phone number.
Reason for replacement:*
Prize checks, or replacements, must be cashed by July 31, 2025, or prize winnings will be forfeited.

During the process of issuing a replacement prize check, a stop payment will be placed on all previously issued prize checks for the individual(s). If the original prize check should arrive after this request is submitted, do not cash the prize check. USBC is not responsible for any fees you may incur during the replacement process.

The person submitting this request will receive a confirmation email.
E-Signature*
By typing your name above, you are digitally signing this form and agreeing to the terms.
If you have any questions, please email USBCOpenChampionships@bowl.com

USBC Women's Championships
Year*
Payee's Name*

First NameLast Name
USBC Member ID#* - Number
Please enter the correct mailing address for the replacement check:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Payee Email*
example@example.com
Payee's Phone Number
Please enter a valid phone number.
Reason for replacement:*
Prize checks, or replacements, must be cashed by July 31, 2025, or prize winnings will be forfeited.

During the process of issuing a replacement prize check, a stop payment will be placed on all previously issued prize checks for the individual(s). If the original prize check should arrive after this request is submitted, do not cash the prize check. USBC is not responsible for any fees incurred due to this scenario.
E-Signature*
By typing your name above, you are digitally signing this form and agreeing to the terms.
If you have any questions, please email USBCWomensChampionships@bowl.com
Should be Empty:

PRIZE CHECK REPLACEMENT FORM