2010 U.S.Open Player Registration Form

2010 U.S.Open 9-Ball Championships
Player Registration

*One Player Per Form

Player Info

Name:

_________________________________

Address:

_________________________________

City:

___________________ State: ________ ZIP: ________

COUNTRY:

_________________________________

Phone Number:

(____)_____-____________

Email:

_________________________________

When completed, make funds ($500.00 - $50.00 Late Fee if not paid by October 10, 2010. No Exceptions) payable to "U.S.Open 9-Ball Championships" and send this form along with your check or money order to:

Q-Master Billiards
Attention: U.S.Open Player Registration
5612-A Princess Anne Rd.
Virginia Beach, VA 23462