Pacific American Cue Sports   TEAM     APRIL 28th - 29th
8 and 9 Ball Regional Championship ENTRY FORM  
Chinook Winds Resort and Casino  
Lincoln City, OR Question?  E-mail 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)        
TEAM DATES ALL ENTRY MONEY MUST ACCOMPANY ENTRY FORM
INCOMPLETE FORMS WILL BE RETURNED
Saturday & Sunday 9:00 a.m. YOUR CANCELED CHECK IS YOUR RECEIPT
TEAM NAME:                  
  Division Standard Entry Fee Late Entry Fee  
League Name:   Postmarked by 10Apr17 Postmarked 11Apr17   
    Men's/Mixed Team $220.00 $240.00  
QUALIFICATION – MUST BE CURRENT PAID     Women's Team $220.00 $240.00  
MEMBER OF ACS & PACS &  HAVE COMPLETED    
8 WEEKS OF PLAY IN A 2017/2018 YEAR OR HAVE PAID $20 PER  Entry Fees include $20.00 registration fee + $20 green fee per player  
PLAYER ($10 TO PACS + $10 PROCESSING FEE) FOR 
INDIVIDUAL DUAL SANCTIONING FROM ANOTHER LEAGUE Only one Advanced/Master permitted per team
ALONG WITH A STAT SHEET SHOWING 8 WEEKS OF PLAY. Teams consist of four members and subs, if desired
Use back to list players if more space needed.
FOR INDIVIDUAL DUAL SANCTIONING PLAYERS,
QUESTIONS ON WHAT DIVISION YOU BELONG CONTACT 
STEVE PETERSON AT (360) 843-8171
Captain's Name                
Street Address                
City, State, Zip                
Phone Number                
E-mail Address                
Player 2 Name       Player 3 Name      
Player 4 Name       Sub Name      
Sub Name       Sub Name      
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 DUAL SANCTIONING DOES NOT QUALIFY
PLAYERS FOR ACS NATIONALS
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.