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Print this form and bring it with you to any tour stop.
Dominiak Cues Northeast Amateur 10-Ball Tour
FREE-----------Player Membership Form--------FREE
YOUR AGE_____
NAME______________________________
STREET____________________________
CITY/TOWN_________________________
STATE______________ZIP____________
PHONE___________EMAIL____________
SIGNATURE________________DATE____
My signature acknowledges that I will recognize and follow all rules set forth by the Dominiak Cues Tour while participating. The Dominiak Cues Tour or its sponsors are not responsible for any losses, theft of player property, any property damage or bodily injury while participating on the tour. The information provided by member is truth.
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