Entry Form - UnitedHealthcare US OPEN Racquetball
Transcription
Entry Form - UnitedHealthcare US OPEN Racquetball
It’s a Racquetball Celebration ...AND YOU’RE INVITED! Be a part of racquetball’s premier “Grand Slam” and the largest racquetball tournament in the worldthe UnitedHealthcare US OPEN Racquetball Championships. See all of the top players from the IRT and LPRT compete for the largest total prize money purse in the sport. Experience the thrill of dramatic player introductions featuring booming music and laser light shows. Stroll through the UnitedHealthcare US OPEN Players Village and see what’s new from the world’s top racquetball manufacturers. Rocky Carson Party the nights away with your favorite pros and racquetball fans from throughout the world. Be there to see the stunning “made-for-TV” portable stadium racquetball court. In addition, over 700 amateur players will compete in age and skill divisions at every level. Special events include the Saturday evening Gala “PARTY WITH THE PROS” (21 & over), a Players Village complete with concessions and an industry trade show, International/VIP Reception, Pro-Am Doubles Tourney for Charity, Thursday night gathering at the Marriott City Center Lobby Bar, Friday night NMRA dance party at Huberts, and continuous fanfare in the stadium. The main location and nerve center for the UnitedHealthcare US OPEN will be located in downtown Minneapolis at the fabulous LIFE TIME FITNESS Target Center, the same building in which the Minnesota Timberwolves play. All pro matches and many of the amateur matches will take place at this facility, located in the center of the exciting Entertainment District in Minneapolis. Restaurants, nightclubs, hotels, and world class shopping are located all around the club. Just four blocks away is the second LIFE TIME location that will be utilized, the Minneapolis LIFE TIME Athletic Club. Lastly, a short seventeen-minute complimentary shuttle ride to the third location – LIFE TIME FITNESS Moore Lake, will complete the rotation. (a 4th overflow location will be used if needed at LIFE TIME FITNESS St. Louis Park) All photos taken by: Alfredo Ramirez (restrungmag.com) and Roby Partovich MADE-FOR-TV PORTABLE STADIUM RACQUETBALL COURT One of the most exciting aspects of the UnitedHealthcare US OPEN Racquetball Championships is that the stunning “made-for-TV” portable racquetball court will be used for all feature matches! The unique construction of the court allows stadium seating for more than 1,200 in addition to courtside luxury boxes for sponsors and VIPs. Dramatic player introductions complete with laser light shows and booming music will treat racquetball fans to a total entertainment experience. The crystal clear acrylic walls will make you feel like you are in the court with the players! PARTIES, PARTIES, AND MORE PARTIES That’s right! For those of us who like to enjoy our evenings, the UnitedHealthcare US OPEN promises a solid week of non-stop fun, kicking off with a Thursday night International/VIP Reception and then Thursday late-night “get together” at the Marriott City Center Lobby Bar. And that’s only the beginning! On Friday evening, the action moves to Minneapolis’ own Huberts, which will feature a DJ spinning the hottest tunes for your dancing pleasure. Saturday evening will top off the party calendar with the gala racquetball bash of the year – the 21st Annual UnitedHealthcare US OPEN “PARTY WITH THE PROS” (21 & over only) at the red hot POURHOUSE nightclub in downtown Minneapolis. More than 600 racquetball fans and guests are expected to turn out for an evening of exciting entertainment, wonderful desserts, and live entertainment. The cost for guests is $15 per person. Players participating in the UnitedHealthcare US OPEN will be admitted free! UnitedHealthcare US OPEN PLAYERS VILLAGE The nerve center of the event will be the all-new UnitedHealthcare US OPEN Players Village. Many activities are scheduled to take place in the Village including an extensive industry trade show, pro autograph signing sessions, concessions, stage with live entertainment, and cash bar. Admission is free for all spectators and players. PRO MATCH SCHEDULE IRT & LPRT Pro Qualifying (Sgls/Dbls) Pro/Am Doubles for Charity IRT Round of 32 Sgls LPRT Round of 32 Sgls IRT Round of 16 Sgls LPRT Round of 16 Sgls IRT/LPRT Quarterfinals Dbls IRT/LPRT Quarterfinals Sgls IRT/LPRT Semiifinals Dbls IRT/LPRT Semiifinals Sgls IRT/LPRT Finals Dbls Finals-LPRT/IRT Wednesday Wednesday Thursday Thursday Thursday Thursday Thursday Friday Friday Saturday Saturday Sunday 10 am - 11pm 6 pm - 10 pm 9 am - 1 pm 9 am - 1 pm 1 pm - 7 pm 1 pm - 7 pm 7 pm - 10 pm 10 am - 4 pm 5 pm - 9:30 pm 10 am - 4 pm 4 pm - 7 pm 10am - 2 pm MEMBERSHIP Players must be members of USA Racquetball. If you’re not, one can be purchased at the event. In addition, all players entering the pro draws must be members of the IRT/ LPRT Players Assoc. or join at the event ($20-IRT/$10-LPRT). PLAY BEGINS/STARTING TIMES/ CONFIRMATION/ENTRY DEADLINE Players must be prepared to play as early as 8 a.m. on the dates indicated in the chart below. Requests for special starting times must be indicated on the entry form. Every effort will be made to accommodate special requests, however no guarantees can be made. Starting times will be available after 5 p.m. on Monday, October 3rd on-line at www.UnitedHealthcareUSOPEN.com. After 5pm on 10/3, any event questions can be directed to the on-site tournament office by calling (719) 499-9561. Entries and ticket orders can be confirmed online after September 21st at www.UnitedHealthcareUSOPEN.com Please immediately call the UnitedHealthcare US OPEN headquarters at (719) 635-5396 ext. 0 if any errors or omissions are found. All entries must be received by Wednesday, Sept. 1st and/or postmarked by Friday Sept. 16th. CHECK-IN All player registration will take place at the downtown LIFE TIME FITNESS Target Center(main host club). Check-in is required prior to participating in the event. Hours for registration are: Tuesday, October 4th, 3 p.m.- 10 p.m.; Wednesday, October 5th, 8 a.m.- 10p.m.; Thursday, October 6th, 8 a.m.- 9 p.m.; and Friday, October 7th, 8 a.m.- 9 p.m. SKILL LEVEL CERTIFICATION Skill level entrants (A, B, C, D divisions) must be certified at that level by the state director or country representative as being legitimately competitive in the entered skill division at a major national level event. Tournament Directors will use these benchmarks to determine eligibility for skill competition and reserve the right to re-classify or disqualify players when/ if they are improperly placed. NOTE: Players in Age+Skill must meet the same criteria. TICKETS FOR PRO MATCHES Everyone wanting to watch pro matches will be required to purchase tickets — see ticket application or call (719) 6355396 ext.0. All non-players must purchase a ticket to be admitted to the Saturday evening “PARTY WITH THE PROS” (21 & over). Seating is limited, therefore it is strongly recommended that you purchase tickets in advance. ABSOLUTELY NO VIEWING FOR PRO MATCHES WILL BE PERMITTED WITHOUT A TICKET. Last year’s ticket packages sold out three weeks in advance, so don’t delay! A very limited number of four-person courtside luxury boxes (with 5-star catered GOLD Lounge access) may be available. Cost is $2,800/box or $800 for single seat. Call 614-890-6073 for availability. OPENING ROUNDS SCHEDULE Wednesday Oct. 5th Singles – All IRT/LPRT Pro Qualifying Sgls/Dbls, Men’s Open, Elite, A, B, C, D, 24 & under, 24 & under A-B-C, 25+, 25+ A-B-C, 30+, 35+, 35+A-B-C, 40+, 45+, 45+A-B-C, 50+, 55+, 55+A-B-C, Doubles – Men’s Open, Elite, A, B, C, 35+, 45+, All Men’s Centurion Thursday Oct. 6th Singles – Men’s 60+, 65+, 65+A, 65+B/C, 70+, 75+, 80+ Women’s Elite, A, B, C, D, 24 & under, 24 & under A-B-C, 25+, 25+A-B-C, 30+, 35+, 35+A-B-C, 40+, 45+, 45+A-B-C., Women’s 50+, 55+, 55+A-B-C, 60+, 65+ Doubles – Men’s 19+, 55+ All Women’s, all Mixed, all Heroes Friday Oct. 7th Singles – Women’s 70+, 75+, 80+ SILENT AUCTION & PRO/AM DOUBLES CHALLENGE For the benefit of St. Jude, JDRF, and Rafa House, a silent auction will be held during the event featuring Olympic Memorabilia, consumer electronics, household merchandise, and sporting goods equipment. Checks, cash, and credit cards are welcome. In addition, Wednesday evening, October 5th, 32 lucky amateurs will have the opportunity to play in a single elimination (one game to 15) doubles challenge with a top professional player as their partner. All proceeds will be donated to St. Jude and JDRF, and each amateur player will receive an autographed racquet from their pro partner. Spots are limited; call (614) 890-6073 if you are interested in participating. Pro/Am Doubles for Charity – $325 donation. (NOTE: Your matches for any other divisions you enter will not be scheduled Wednesday evening so you can participate in this special event.) UnitedHealthcare HOSPITALITY Hospitality (continental breakfast and lunch) for all players will be available at LIFE TIME FITNESS Moore Lake only. LIFE TIME FITNESS Target Center (main club) will offer a cash bar and concessions throughout all hours of the event. In addition, many restaurants are located right next door to the club in the downtown Minneapolis Entertainment District. The US OPEN is thrilled to have UnitedHealthcare as our Title Sponsor. UnitedHealthcare is dedicated to helping people nationwide live healthier lives by simplifying the health care experience, meeting consumer health and wellness needs, and sustaining trusted relationships with health care providers. UnitedHealthcare serves more than 38 million people and is one of the businesses of UnitedHealth Group (NYSE: UNH), a diversified Fortune 50 health and well-being company. 6 v 4 1 v v 3 7 5 2 TRAVEL and LODGING United Airlines THE U.S. OLYMPIC COMMITTEE travel desk and UNITED AIRLINES join USA RACQUETBALL to offer the lowest possible UNITED AIRFARES TO NATIONAL EVENTS - U.S. Olympic Travel Desk toll -free, at 800/841-0460 between 8:30 am and 8:00 pm MT weekdays. Reference USA Racquetball United Code UO31 Hotels When making hotel reservations, you must mention the US OPEN Racquetball Championships. Discounted rates are good for up to four people per room. You must make reservations by September 11th for these special rates and they often sell out early. Regular shuttle service will be available between the main host club (LIFE TIME FITNESS Target Center) and LIFE TIME FITNESS Moore Lake (17-minute ride). The third club- (Minneapolis LIFE TIME Athletic Club) is walking distance from the main club downtown (four blocks). Three host hotels are located downtown and are walking distance to the main club. Parking/Airport Transportation Parking downtown, like most major cities, can be expensive. For players staying at the Hyatt Place, a special $20 per day rate will be honored in their parking lot. For players flying in for the event, a rental car is not neccessary. For just $1.75 you can catch the Light Rail train at the airport which will bring you right downtown to the Target Center. Three host hotels and two of the three clubs are walking distance from each other. The third club, in Fridley, is just 17 minutes away and the UnitedHealthcare US OPEN will offer a free shuttle every 20 minutes from the main Target Center club. In addition, dozens of restaurants, shops, and entertainment options are all located around the Target Center downtown. HOST HOTELS 1 3 MARRIOTT Minneapolis City Center (MAIN host hotel-downtown) 30 South 7th Street (612) 349-4000 Rate: $169 (up to 4 in a room) -2 blocks to LIFE TIME Target Ctr. -incredible 4-star property -HUGE lobby with bar/restaurant -overnight charge for parking 32 HYATT PLACE Hampton Inn & Suites 4 SPRINGHILL Suites (MAIN host hotel-downtown) 425 South 7th Street HOST CLUBS 5 LIFE TIME ATHLETIC Target Ctr. (main HOST CLUB) 600 North 1st Street (612) 486-3600 7 MINNEAPOLIS LIFE TIME ATHLETIC CLUB (auxiliary HOST CLUB) 615 2nd Ave. South (612) 752-7000 -4 blocks to main host club downtown (5 minute walk) (612) 333-3111 Rate: $139 (up to 4 in a room) -7 blocks to LIFE TIME Target Ctr. -skyway connected 6 -free daily breakfast LIFE TIME FITNESS Moore Lake (auxiliary HOST CLUB) 1200 E. Moore Lake Drive (763) 656-1500 -free shuttle every 20 min from main Target Ctr. club (17 minute ride) -overnight charge for parking (MAIN host hotel-downtown) (auxiliary host hotel-St. Louis Park) 19 N. 8th Street 5901 Wayzata Blvd. (612) 341-3333 (952) 738-7300 Rate: $159 (up to 4 in a room) Rate: $134 (up to 4 in a room) -1 block from LIFETIME Target Ctr. -close to LTF St. Louis Park club -FREE breakfast -FREE parking/FREE breakfast -brand new hotel! -Ideal for people driving to event -overnight charge for parking -Shuttle to Target Ctr. offered during select hours each day. 8 LIFE TIME FITNESS St. Louis Park (overflow HOST CLUB) 5524 Cedar Lake Rd. (952) 546-5474 -free shuttle every 20 min from main Target Ctr. club (10 minute ride) 2 RULES/FORMAT/RANKINGS All amateur divisions will be played according to official USA Racquetball rules, including the mandatory use of protective lensed eyewear tested to ASTM F803 or CSA impact standards. Pro divisions will use IRT/LPRT rules. For all age divisions, players must meet the proper age requirement as of the first day of the tournament (October 5th). All divisions (pro and amateur) will use the ProPenn HD (purple) ball, the official ball of the IRT and UnitedHealthcare US OPEN. Consolation will not be offered due to court time restrictions. Every match played in all divisions at the UnitedHealthcare US OPEN will be entered in USA Racquetball’s ranking system. PRIZE MONEY over $67,000! 1st 2nd N NAL POLI C SHOOT EST. 2009 TR AIGH T S CQ TBA IO N RA AT I UE I AT A S S O CI ON R L D F I R EFI G IO AT ET LL WO RACQU E ER BA HT LL ASS OC Back for 2016! The UnitedHealthcare US OPEN Racquetball Championships is now co-sanctioned by the IRF. All players will receive official IRF ranking points. Floor Manager Pete Ulliman Operations Managers Chris Jorgensen/Darryl Warren Executive Committee Dr. Jim Hiser, Eddie Meredith, John Wiliniski, Jonn Olson, Steve Czarnecki Pro Tour Commissioners Jason Mannino (IRT) Andy Kulback (LPRT) www.UnitedHealthcareUSOPEN.com Semi’s $1,400 Quart $ 800 Semi’s $ Quart $ 700 400 $ 350 $ 175 Semis $ 85 CELEBRATION OF CHAMPIONS INTERNATIONAL RACQUETBALL FEDERATION (IRF) Doug Ganim (Ganim Event Management, LLC) 1st$4,000 2nd$2,000 Men’s & Women’s Open Singles All players will receive $5 for each amateur division match they referee. Players losing a match in pro divisions are required to referee with no fee paid. All players are required to pay a $5 ref fee per division entered. US OPEN Executive Director Men’s Pro Dbls $12,000 1st$2,000 2nd$1,000 OFFICIATING TOURNAMENT DIRECTORS Women’s Pro Sgls $20,000 Womens’s Pro Dbls $6,000 HEROES Divisions Back for 2016! Former and current police, fire, EMT, and armed forces members will be invited to participate in special skill divisions to honor America’s brave protectors. A/B and C/D singles are offered for men and women with a guarantee of at least 2 matches (drop down bracket). As a special “thank you,” at Registration HEROES division participants will receive a NO CHARGE Ticket Package to watch the pro’s ($139 value). Men’s Pro Sgls $28,000 Ben Croft 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 Men’s Pro Kane Waselenchuk Kane Waselenchuk Kane Waselenchuk Kane Waselenchuk Kane Waselenchuk Kane Waselenchuk Kane Waselenchuk Kane Waselenchuk Rocky Carson Jason Mannino Kane Waselenchuk Kane Waselenchuk Kane Waselenchuk Sudsy Monchik Cliff Swain Sudsy Monchik Jason Mannino Sudsy Monchik Cliff Swain Sudsy Monchik Women’s Pro Paola Longoria Paola Longoria Paola Longoria Paola Longoria Paola Longoria Rhonda Rajsich Rhonda Rajsich Paola Longoria Rhonda Rajsich Christie Van Hees Christie Van Hees Cheryl Gudinas Rhonda Rajsich Cheryl Gudinas Kerri Wachtel Christie Van Hees Jackie Paraiso Jackie Paraiso Michelle Gould Michelle Gould PRO MATCH TICKET APPLICATION Price Quantity Total($) SESSION #1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $24 Men’s & Women’s Pro Sgls & Dbls Qualifying Wednesday, 10 am - 11 pm SESSION #2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $24 Men’s Round of 32 Sgls Thursday, 9 am - 1 pm Women’s Round of 32 Sgls Thursday, 9 am - 1 pm Men’s & Women’s Dbls Qualifying continued 9 am - 1pm SESSION #3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $24 Men’s Round of 16 Sgls Thursday, 1 pm - 7 pm Women’s Round of 16 Sgls Thursday, 1 pm - 7pm Men’s and Women’s Quarter-Finals Dbls Thursday 7 pm - 10 pm SESSION #4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $24 Men’s Quarters Sgls #1, #2 Friday, 10 am - 1 pm Women’s Quarters Sgls #1, #2 Friday, 10 am - 1 pm SESSION #5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $24 Men’s Quarters Sgls #3, #4 Friday, 1 pm - 4 pm Women’s Quarters Sgls #3, #4 Friday, 1 pm - 4 pm SESSION #6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $26 Men’s & Women’s Semi’s Dbls Friday, 5 pm - 9:30 pm SESSION #7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $28 Women’s Semi Sgls #1/Men’s Semi Sgls #1 Saturday, 10 am - 1 pm SESSION #8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $28 Women’s Semi Sgls #2/Men’s Semi Sgls #2 Saturday, 1 pm - 4 pm SESSION #9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $34 Women’s Dbls Finals Saturday, 4 pm Men’s Dbls Finals Saturday, 5 pm SESSION #10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $43 Women’s LPRT Sgls Finals/Men’s IRT Sgls Finals Sunday, 10 am - 2 pm BEST VALUE!– only available in advance! PREFERRED TICKET PACKAGE (BACK WALL bleacher viewing for all sessions).................$139 Guest Ticket for “PARTY WITH THE PROS” (21 & over only) . . . . . . . . . . . . . . . . . . . . $15 (free for all player participants) Saturday, 9:00 p.m. - 12:30 a.m. $4 Processing fee (MUST be paid to process your order). . . . . . . . . . . . . . . . . . . . . . . . . . $4 Make check payable or use credit card and mail to: UnitedHealthcare US OPEN 2812 W. Colorado Ave. - Suite 200 Colorado Springs, CO 80904 To order your tickets by phone call: (719) 635-5396 ext. 0 or fax this completed form to: (719) 635-0685 To order on-line: UnitedHealthcareUSOPEN.COM Visa/MC # Exp. Date Sec. Code Cardholder’s Name (print) Signature Name to hold tickets under Credit Card Billing Address CitySTZip Day PhoneNight Phone TOTAL Tickets will not be mailed in advance. They can be picked up at the Will Call Desk, located at the Target Center club (I.D. is required). Seating is limited. Must purchase tickets in advance to be guaranteed a seat. A very limited number of four-person courtside luxury box seats (with table service) may be available. Cost is $2,800. Includes access to the fully catered Pro/Gold Lounge with premium food and drink for the week. Call (614) 890-6073 for availability. Individual seats can be purchased for $800. ENTRY FORM NameBirthdateAge Address Phone (day) City/State/Zip (night) USA Racquetball Membership Number Exp. Date Fax E-Mail Seeding Information (2015 US OPEN, 2016 States, Regionals, Nationals) Home Club PRO USAR DIVISIONS Players may enter a maximum of two (2) events: (three events permitted if at least one is a doubles division or Pro division). All ages as of Oct. 5, 2016: Check one: Men’s Women’s Skill + Age Divisions* Skill Divisions* 24 & under A 24 & under B 24 & under C 25+ A 25+ B 25+ C 35+ A 35+ B Elite Can only enter ONE from this group A B C D HEROES Open/A HEROES B/C 35+ C 45+ A 45+ B 45+ C 55+ A 55+ B 55+ C 65+ A 65+ B/C Open & Age Divisions OPEN 24 & under 25+ 30+ 35+ 40+ 45+50+ 55+ 60+ Men’s Sgls (IRT) 65+ 70+ 75+ 80+ Open Elite A B C 19+ 35+ 45+ 55+ 65+ Doubles & Mixed Doubles Divisions* MX C MX Open Centurion Open/Elite MX 30+ MX Elite Centurion A MX 40+ MX A Centurion B MX 50+ MX B Centurion MX Open/Elite Centurion MX A/B Partner’s Name Division Partner’s Name Division *REQUIRED Skill Verification Form (more info on page 4 of Entry Form) Please indicate below your eligibility for competition in the skill level you have selected. This information will be verified and re-classification may take place if deemed appropriate by the Tournament Director. Skill division you played and your result at following eventts: 2015 US OPEN_______________________________________________________________________ 2016 National Singles_________________________________________________________________ 2016 State Champ event_______________________________________________________________ INTL PLAYERS (provide name and e-mail of country rep)_____________________________________ Women’s Sgls (LPRT) Men’s Dbls (IRT) Women’s Dbls (LPRT) Partner’s Name The Men’s and Women’s Pro Singles will begin in the round of 32 with qualifying rounds scheduled as needed. Pro Doubles will begin in the round of 8 with qualifying rounds scheduled as needed. Players wishing to enter the amateur OPEN division must enter it directly as a second event. WAIVER: I hereby, for myself, my heirs, executors, and administrators, waive and release and all rights and claims that I may have against USA Racquetball, IRT, LPRT, Ganim Event Management, LLC., Life Time Fitness, CPRT, UnitedHealth Group, UnitedHealthcare, event staff, event volunteers, and all other US OPEN sponsors, or their respective agents for any and all injuries I may suffer as a result of participation in this event. By registering to participate, I release all rights to the use of event photographs/videos in which my image appears. Participant Signature (parent if under 18) Date ENTRY FEES Players may enter a maximum of two events (three events permitted if at least one is a doubles division or a Pro division). Consolation will not be offered due to court time restrictions. Players in multiple divisions may play back-to-back matches. Returned checks will be assessed a $25 service charge ($10 for declined credit cards). Phone entries will be accepted through the original entry deadline with a $15 service charge and a major credit card by calling the UnitedHealthcare US OPEN headquarters at (719) 635-5396 ext. 0. Maximum amateur draw is 700 players. Once filled, all additional entries received will be returned with refund. Cancel fee before deadline-$30. All players pay $5 ref fee for each division entered. Late entries accepted after deadline only if space available with $20 late fee. Lower cost USAR membership for international members is valid only at event. Amount Pd. Division ENTRY DEADLINE: All entries must be received by Wednesday, Sept. 21st and/ or postmarked by Friday, Sept. 16th. No refunds will be given after the entry deadline. All entries received after the entry deadline will be assessed a $20 late fee if space is still available in the tournament. First Event (Pro divisions/amatuer) ($130/$110) Second Event ($53) Third Event($53) USAR Membership (US/Foreign) ($50/$20 event only) ENTRY FEE INCLUDES: IRT fee/LPRT fee ($20/$10) Ref fee(s)--REQUIRED ($5 per division entered) Extra Party with the Pros ticket ($15 each) Limited hospitality, free access to Players Village and fan fair activities, souvenir UnitedHealthcare US OPEN shirt, UnitedHealthcare US OPEN Souvenir Program, ticket to the Saturday evening “PARTY WITH THE PROS” (21 & over only) plus much, much more! Quant. 21 & over only - Players admitted free TOTAL Visa/MC Exp. Date Sec. Code Cardholder’s Name (print) Signature Make check payable and mail to: UnitedHealthcare US OPEN 2812 W. Colorado Ave. - Suite 200•Colorado Springs, CO 80904 or FAX this completed form to (719) 635-0685 ? Have you enclosed your Pro Match Ticket Application and payment for tickets? Seating is limited. Must purchase tickets in advance to be guaranteed a seat. One check can be written for entry fees and tickets. To enter by phone call: (719) 635-5396 ext. 0 To enter online: www.UnitedHealthcareUSOPEN.com
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