Ladies Charity Golf Classic

Name______________________________________________________________

Address____________________________________________________________

City________________________________State____________Zip___________

Phone_______________________Email_________________________________

Home Club_________________________________________________________

Handicap Index_________________ Ghin #______________________________

Partner____________________________________________________________

Address____________________________________________________________

City_________________________________State_____________Zip_________

Phone________________________Email________________________________

Home Club_________________________________________________________

Handicap Index_________________ Ghin #______________________________

No spectators are allowed - in any capacity

Only USGA approved GPS systems will be allowed

Additional dinner guests $20.00 per dinner

   Please enclose with entry                                   Total guests ___________

Entry Deadline/Fee

Entry Deadline June 1, 2011    

Entry Fee $340.00 per team

Entry fee must

 accompany this form

Late or incomplete entry

 not accepted

Make checks payable to:

 Ladies Classic

Mail to: Ladies Classic

Cathy Proffitt

6420 Club House Dr.

Farmington, NM  87402

505-325-1349

Email questions to:

proffitt@zianet.com

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