Tournament Information:  
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Tournament Name:  
Date and time of Tourney:  
Location of Tourney:  
Street Address:  
City:  
State:  
Zip Code:  
Name of the Hosting Facility:  
Store Phone #:  
Machine Type(s):  
Contest Format:  
Estimated # of participants:  


Organizer Information:  
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Name of Organizer:  
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Email Address of Organizer:  
Shipping Address:  
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Sponsorship Information:
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Requested Prizes:
How they will be distributed:
How you are promoting this tournament:

Will you promote Cobalt Flux using provided materials if we sponsor you?

Will you be willing to supply Cobalt Flux with recorded tournament media (photos and/or videos) and rights to reproduce it?