Pacific American Cue Sports   TEAM     APRIL 29th - 30th
8 and 9 Ball Regional Championship ENTRY FORM  
Chinook Winds Resort and Casino  
Lincoln City, OR Question?  E-mail 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
TEAM DATES                
Saturday & Sunday 9:00 a.m.   Division Standard Entry Fee Late Entry Fee  
  Postmarked by 10Apr17 Postmarked 11Apr17   
    Men's/Mixed Team $220.00 $240.00  
TEAM NAME:       Women's Team $220.00 $240.00  
   
League Name:   Entry Fees include $20.00 registration fee + $20 green fee per player  
QUALIFICATION – MUST BE CURRENT PAID Only one Advanced/Master permitted per team
MEMBER OF ACS & PACS &  HAVE COMPLETED Teams consist of four members and subs, if desired
 8 WEEKS OF PLAY IN A 2016/2017 YEAR  Use back to list players if more space needed.
SANCTIONED PACS LEAGUE.
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                         
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.