8^th FOUR-BALL CHAMPIONSHIP (June 13 and 14, 2009)

Ridgewood Country Club (June 13^th)
Owls Nest Golf Club (June 14^th)

APPLICATION FOR ENTRY - FEE $200/ TEAM

Enclose entry fee of $200 per team payable to NHGA

Send payment to:

New Hampshire Golf Association, P.O. Box 486, Wolfeboro, NH 03894

Please print and complete every blank.

NAME _________________________________________________________________________

ADDRESS ____________________________________________PHONE____________________

CITY ___________________________________STATE ________ ZIP _____________________

CLUB ______________________________________ GHIN NUMBER ______________________

EMAIL ADDRESS __________________________________________

PARTNER’S NAME _______________________________________________________________

ADDRESS ___________________________________________ PHONE_____________________

CITY ____________________________________ STATE ______ ZIP ______________________

CLUB _______________________________________ GHIN NUMBER _____________________

EMAIL ADDRESS ___________________________________________

DIVISION (GROSS or NET) ____________________________________

____ I do not want my picture on the web-site

I agree to the championship regulations on the pages of the application. I have read and understand the requirements of eligibility and for acceptance of this entry. I agree this entry is subject to approval or rejection at any time by the New Hampshire Golf Association at its discretion. All contestants must abide by the rules of the host club.

Signature of Applicant _______________________________________ Date ________________

4 BALL CHAMPIONSHIP