League Growth Claim Form

USTA Southern New Team Claim Form

USTA Southern League Growth Initiative

Thank you for taking the time to introduce new players to the sport of tennis and USTA League. To receive your incentive, please fill out the form below and submit it.

For additional information regarding this initiative go to:
http://www.southern.usta.com/News/tennis_pros_usta_league_cash_reward_program/

NOTE: If the total of your claims is $600.00 or more, you must provide your Social Security #. To do so, please download the form from HERE, print it out, then fill it out and mail it to your state office.

* Denotes Required Fields

*TENNIS PROFESSIONAL FIRST NAME
*TENNIS PROFESSIONAL LAST NAME
*ADDRESS
*CITY
*STATE
*ZIP CODE
*PHONE #
*EMAIL ADDRESS
*USPTA or PTR CERTIFICATION #
* CERTIFICATION EXPIRATION DATE
*TEAM NUMBER ($200 incentive per team)
*State this team will represent

Names and USTA Numbers of New Players (To qualify for the incentive, only 6 eligible new players need to be listed on team number above)
NAME	USTA NUMBER
*1.
*2.
*3.
*4.
*5.
*6.

USTA Southern State Offices and Contacts: In the event that a player is identified twice they will be counted towards the first submission. By submitting the form, the submitting member represents that all information contained on the form is accurate and that they acknowledge that any questions or disputes regarding eligibility for the incentive payments and/or interpretation of the rules will be resolved by USTA Southern in its sole discretion, and all such decisions shall be final. Incentive program is good only for the first 350 teams who claim their 6 eligible players. * I have read and agree to abide by the terms set forth in the above statement.