2009 Mid Atlantic Registration

The registration deadline was February 1, Midnight EST, we do not take any more entries.

Player Information:
First name: Last name: Sex: Male Female

Address: City: State: ZIP:

Birthday: (mm/dd/yyyy) US Citizen? : Yes No

Telephone: (day) (eve) (cell)

Email: (or person responsible for confirming player status and updates)

USAB membership options:
current valid USAB membership number: (e.g. L-123, 2-123456, 4-123456, 9-123456)
Life membership ($750 in 5 installments of $150)
(re)new regular membership 22+ ($30/80/125) for 1/3/5 yr
(re)new junior membership 21- ($20/50/75)
(re)new family membership ($65/145/230) (FamilyName: )
(re)new tournament player ($25 for 1 yr)
Is this a renewal: Y N
USAB fee to be paid:

Player Entries:
You can enter in any of following categories, up to 3 events, but not playing in A and B/C in the same event. Each event is $25. Senior entries must have reached the age of 40 at the first day of the tournament (some limited conflicts with A/B/C allowed, TBA).

Select A or B/C, and partner					Seniors and doubles partner
Event	none	A	B/C	Partner Name (A/B/C)	none	S	Partner Name (S)
MS
WS
MD
WD
XD

NOTE: use REQ for a partner name if you want us to assign you a partner, and use TBA if you will give us a name later. If you do not, may be assign or drop your event (usually after phone/email consultation)

Any additional comments/questions you wish to make about your entry can be entered here:

To register, press this button: , to clear this form: .

Send in your check and consent form before Sunday February 1 to:


    Peter Teuben
    11104 Glenn Brooke Ct.
    Glenn Dale, MD 20769

Make checks out to Mid-Atlantic Classic, not to me!

The following players have registered so far, we provide this "service" to encourage you to spell the name of your partner correctly.