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 10, 2019. 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 my teammate and I are current members in a league sanctioned with the American CueSports Alliance (ACS) and that neither of us are professional players by definition of the ACS. We have read and agree to abide by the rules and regulations and to all other regulations implemented by the American CueSports Alliance. Also, on behalf of myself and my Scotch Doubles teammate, I am giving our express permission for the ACS to use our photograph for reporting and promotional purposes.