Pacific American Cue Sports   SCOTCH DOUBLES APRIL 26TH  
8 and 9 Ball Regional Championship  ENTRY FORM  
Chinook Winds Resort and Casino  
Lincoln City, OR Question?  shordunski@aol.com   
April 26th-30th, 2017 Call Judy at (360) 892-7454  
   
ENTRY DEADLINE LATE ENTRY DEADLINE  
April 10, 2017 April 14, 2017  
(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 10Apr2017 Postmarked  11Apr2017  
    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 If one player is rated Advanced, team must 
MEMBER OF ACS & PACS &  HAVE COMPLETED compete in the Advanced division.
 8 WEEKS OF PLAY IN A 2016/2017 YEAR 
SANCTIONED PACS LEAGUE.
Both players must be from the same
League Operator System.
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                         
Green Fees and Registration Fees go toward payment of tables
Players must play with equipment provided with tables. 
Penalties will be assessed for noncompliance.
No Magic Racks - No other cue ball than the one provided.