Pacific American Cue Sports   SCOTCH DOUBLES APRIL 25TH  
8 and 9 Ball Regional Championship  ENTRY FORM  
Chinook Winds Resort and Casino  
Lincoln City, OR Question?  shordunski@aol.com   
April 25th-29th, 2018 Call Judy at (360) 892-7454  
   
ENTRY DEADLINE LATE ENTRY DEADLINE  
April 2, 2018 April 6, 2018  
(must be postmarked by above date) INCLUDE $10 LATE FEE PER PERSON PER EVENT  
  (money orders only accepted – must be  
        postmarked by above date)      
ALL ENTRY MONEY MUST ACCOMPANY ENTRY FORM
INCOMPLETE FORMS WILL BE RETURNED
YOUR CANCELED CHECK IS YOUR RECEIPT
SCOTCH DATE              
Wednesday 9: 00 a.m.   Division Standard Entry Fee Late Entry Fee  
  Postmarked by 2Apr2018 Postmarked  6Apr2018  
    Advanced Scotch Doubles $110.00 $130.00  
Player Status:     Open Scotch Doubles $90.00 $110.00  
   
League Name:   Entry Fees include $10.00 registration fee + $20 green fee per couple
QUALIFICATION – MUST BE CURRENT PAID MEMBER OF If one player is rated Advanced, team must 
ACS & PACS &  HAVE COMPLETED 8 WEEKS OF PLAY IN A  compete in the Advanced division.
 2017/2018 YEAR OR HAVE PAID $20 FEE ($10 TO PACS + $10 
PROCESSING FEE) FOR INDIVIDUAL DUAL SANCTIONING
FROM ANOTHER LEAGUE, ALONG WITH A STAT SHEET 
SHOWING AT LEAST 8 WEEKS OF PLAY. 
For Individual Dual Sanctioning Players 
questions regarding what division you belong in,
contact Steve Peterson - (360) 843-8171
Male Player's Name                
Street Address                
City, State, Zip                
Phone Number                
E-mail Address                
Female Player's Name                
Street Address              
City, State, Zip                
Phone Number                
E-mail Address                
Total Monies Enclosed  $
$15.00 Service Fee on all returned checks
SEND ENTRIES TO: Pacific ACS                                        
1016 SE 132nd Ave
Vancouver WA  98683                         
WORLD STANDARDIZED RULES IN EFFECT
Green Fees and Registration Fees go toward payment of tables DUAL SANCTIONING DOES NOT QUALIFY
Players must play with equipment provided with tables.  PLAYERS FOR ACS NATIONALS
Penalties will be assessed for noncompliance.
No Magic Racks - No other cue ball than the one provided.