Untitled Document

EVENT INFO

SCHEDULE OF EVENTS

RESULTS

ENTER EVENTS ONLINE

ENTER EVENTS ONLINE

First Name:
Last Name:
Address 1:
Address 2:
City:
State/Zip:	..
Day/Cell Phone:
Evening Phone:
Email:
Gender:	Male Female
Birthdate:
Emergency Contact:
Phone:
o.
Membership Option: 2008-2009 annual memebership $250
I want to remain a non-member. I understand that certain prizes ...........may not be available to me.
.
County of Residence:

Handicapping. Please fill out information below
	Score 1	Score 2	Score 3	Score 4
Date
Score
Rating
Slope

Method of Payment - Personal check or paypal. (note: you can use major credit cards processed through paypal. Add 3% processing fee)

If paying by check, submit application online and mail payment within 3 days. If payment not received within 7 days, application is subject to cancellation.