2023 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. MAKE SURE THE USTA NUMBER IS ACCURATE!

TEAM ROSTER:

	USTA Number	Player Name	Email Address	T-Shirt Size
Player #1
Player #2
Player #3
Player #4
Player #5
Player #6
Player #7

FORM SUBMITTED BY:

Name*

First NameLast Name

Email*

example@example.com

Cell Number*

Are you Team Captain?*

YesNo

If No, who is the team captain?

Payment Options*

Pay Online BelowMail In Check

ENTRY FEE: The entry fee will be $165 per player and non-playing captain which includes the tournament, player gift, lunch package (4 lunches), NWTO sponsored social and the Gala Dinner. Early Bird Registration special of $145 per player if team entry received no later than September 1, 2023

PAYMENT OPTIONS:

ELECTRONICALLY - TO PAY ENTRY FEES ELECTRONICALLY: ENTER TOTAL NUMBER OF PLAYERS AND THEN CLICK SUBMIT. ENTER CREDIT CARD INFORMATION AND CLICK SUBMIT.

IF PAYING BY CHECK, SELECT 0 BELOW AND MAKE CHECK PAYABLE TO USTA SOUTHWEST / 7010 E. ACOMA DRIVE #201 / SCOTTSDALE, AZ 85254 - PLEASE NOTE THE SECTION AND AGE DIVISION ON CHECK.

Women's Intersectional Entry Fee

$145.00 Quantity
Item subtotal:$0.00

Total

$0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

2023 USTA NATIONAL WOMEN'S INTERSECTIONAL TEAM CHAMPIONSHIP