American Cuemakers Association

Application for Membership

MERCHANDISING & ASSOCIATE MEMBERSHIP APPLICANTS

Name: __________________________________________________________

Address: _________________________________________________________

Name of Cue or Company: __________________________________________

Address: _________________________________________________________

Phone: __________________________ Fax: ___________________________

E­Mail: __________________________ Web Site: _______________________

I understand all information on this application is confidential and for the use of the ACA to determine membership qualifications.

SIGNATURE ____________________________________  DATE: ________________

Please send this application and a check for $100 payable to the American Cuemaker’s Association to Steve Klein at:

American Cuemakers Association
2231 Galloway Blvd
Trophy Club, TX
76262