10th AMATEUR STROKE PLAY CHAMPIONSHIP

AUGUST 4 - 6, 2009

GREEN MEADOW GOLF CLUB (JUNGLE COURSE) – HUDSON, NH

Enclose entry fee of $110 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 _______________________________________________________

EMAIL ADDRESS _____________________________________________

GHIN NUMBER (NOT HANDICAP INDEX) ____________________________

_____ I WILL WANT A CART

_____ 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 ________________

stroke play