Pacific American Cue Sports   SINGLES APRIL 27-28th 
8 and 9 Ball Regional Championship ENTRY FORM  
Chinook Winds Resort and Casino  
Lincoln City, OR Question?  E-mail to 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
SINGLES DATES         Standard Entry Fee Late Entry Fee    
Thursday 9:00 a.m. - 9-Ball   Division  
Friday 9:00 a.m. - 8-Ball   9-BALL Postmarked by 10Apr17 Postmarked 11Apr17  
    Men's Advanced $65.00 $75.00  
Player Status:     Men's Open $55.00 $65.00  
    Men's Standard $55.00 $65.00  
    Women's Advanced $65.00 $75.00  
League Name:       Women's Open $55.00 $65.00  
    Women's Standard $55.00 $65.00  
QUALIFICATION – MUST BE CURRENT PAID   8-BALL  
MEMBER OF ACS & PACS &  HAVE COMPLETED     Men's Advanced $65.00 $75.00  
    Men's Open $55.00 $65.00  
 8 WEEKS OF PLAY IN A 2016/2017 YEAR      Men's Standard $55.00 $65.00  
SANCTIONED PACS LEAGUE.     Women's Advanced $65.00 $75.00  
    Women's Open $55.00 $65.00  
    Women's Standard $55.00 $65.00  
   
Entry Fees include $5.00 registration fee + $20 green fee per player
               
Name    
Street Address                
City, State, Zip                
Phone Number                
E-mail Address                
           
Total Monies Enclosed - Add 9-Ball and 8-Ball entries together
$
$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.