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Get Tournament Qualifier Application - Usbcongress Http Internapcdn

TE/PROVINCE BEGINS / / 20 PREMIERE EVENT ENDS ARE YOU HOSTING MULTIPLE QUALIFYING EVENTS? YES / YES NO / 20 NO (ATTACH A LIST WITH THIS APPLICATION) HOW MANY NATIONAL SPOTS WOULD YOU LIKE TO RESERVE? TOTAL AMOUNT ENCLOSED $ ($200 PER SPOT MUST BE SUBMITTED WITH FORM) VISA PAYMENT METHOD (ALL PAYMENTS MUST BE MADE IN U.S. FUNDS) MASTERCARD NAME AS IT APPEARS ON CREDIT CARD CREDIT CARD NUMBER EXPIRATION DATE 1:4 ADVANCEMENT RATIO YES MAJOR FRACTION CHAMPION / CCV OTHER.

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