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| Player Info | |||
| Name: | _________________________________ | ||
| Address: | _________________________________ | ||
| City: | ___________________ State: ________ ZIP: ________ | ||
| COUNTRY: | _________________________________ | ||
| Phone Number: | (____)_____-____________ | ||
| Email: | _________________________________ | ||
| When completed, make funds payable to "Q-Master Billiards " and send this form along with your check or money order
to: Q-Master Billiards Attention: Masters Player Registration 5612-A Princess Anne Rd. Virginia Beach, VA 23462 |
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