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W S G A
  2012 AMATEUR CHAMPIONSHIP 

2012 On-Line Entry Form
 

Ninety-seventh WSGA Amateur Championship Entry
  Myers Park Country Club
Charlotte, North Carolina

May 21 - 25, 2012

ENTRY FORM

  1. Please fill out the following information and click the "SUBMIT" button to send in your entry form. 

  2. After submitting entry form, the PayPal Payment page will automatically come up.

  3. Entry deadline is Friday, April 20, 5:00 PM (CDT) unless extended.

YOUR ON-LINE ENTRY IS NOT CONFIRMED UNTIL PAYMENT HAS BEEN MADE!

 
Name:  
Please enter name as you want it to be announced, to appear on scoreboard, scorecards, etc.
Street Address:  
City:  
State:  
Zip:  
Home Phone:  
Cell Phone:  
Email:  
Member Golf Club/Women's Golf Assoc/College:  
Club/Assoc/College City, State:  
USGA Handicap Index:       (if not playing, type none)  

GHIN #  *                                  (if not playing, type none)

  
  *  Non-GHIN members (playing) must provide Handicap service at home club
I would like to compete for Senior / Junior Trophy  
I am submitting entry fee for:  

By submission of this entry I agree to the following:

  1. All information submitted is accurate.

  2. There are risks inherent in golf and I accept liability for all such risks.

  3. My name or photo can be used in publicity promotions or on the website.

YOUR ENTRY IS NOT CONFIRMED UNTIL YOUR PAYMENT HAS BEEN RECEIVED!