2010 Atlantic Cup Interest Form

First Name
Last Name
Telephone
E-mail Address
Preferred Division
Preferred Event
Doubles Partner
Would you like assistance finding a doubles partner? Yes    No   
Would you be willing to play doubles only? Yes    No   
Would you be willing to play singles only? Yes    No   
Would you be willing to play in a higher division if your division is full? Yes    No   
GLTA Rankings as of today's date(if available)
    Singles     Number   
    Doubles     Number