1989 CONCACAF Championship qualification
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Main article: 1989 CONCACAF Championship
A total of 16 CONCACAF teams entered the competition, but FIFA rejected the entry of Belize due to outstanding debt.
There would be two rounds of play:
- First Round: Canada, Honduras, El Salvador, United States and Mexico, the five best ranked teams according to FIFA, received byes and advanced to the Second Round directly. The remaining 10 teams were paired up to play knockout matches on a home-and-away basis. The winners would advance to the Second Round.
- Second Round: The 10 teams were paired up to play knockout matches on a home-and-away basis. The winners would advance to the tournament.