Long Ashton Golf Club

LONG ASHTON GOLF CLUB SENIORS MIXED OPEN ENTRY FORM

Friday 29th September 2017 4 Ball Team Stableford-Best Lady & Man to score each hole Enter in Fours or Pairs NAME OF ENTRANT(S) HOME CLUB CDH ID H/cap

4 MAIN CONTACT ADDRESS

POSTCODE HOME Tel MOBILE EMAIL ADDRESS (please print clearly) Please select method of payment CHEQUES TO BE MADE OUT TO: LAGC SENIOR SECTION

BACS TRANSFER: a/c no:71121081 sort code: 40-37-33 please use ref: SEPT (surname) ENTRY FEE £26 per person (Visitors) £ ENTRY FEE £19 per person (Members) £ Entry Fee includes a 2-course carvery meal plus tea or coffee. Please let us know about any special dietary requirements Preferred Start Time PRIORITY IS GIVEN TO COMPETITION HANDICAPS *Please indicate if handicaps are NON COMPETITION

Notes: 1. If you enter as a pair we will find partners for you. 2. Minimum age 55 years. 3. Please give your CDH ID number. 4. Please send an SAE if you prefer your tee times to be posted to you. 5. Inactive handicaps are ineligible for prizes. 6. Please ensure you are aware of the club dress-code. If you require any further information please call 01275 392229 option 3

When completed please return the form to: Graham Rose, Long Ashton Golf Club, Clarken Coombe, Long Ashton, Bristol, BS41 9DW

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