2007 Mid Atlantic Registration

The registration deadline is Thursday November 1, midnight EST, after this we cannot guarentee new entries, and certainly not after the draws have been made!

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 thursday November 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.