Ladies Charity Am-Am - Entry Form

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Blankney Golf Club Ladies Section

Autumn Charity Am-Am

In Support of  ALZHEIMER RESEARCH

Wednesday 19th September 2012

Stableford (Entry will be decided by a ballot if oversubscribed)

Handicap Limit 30 - ¾ Handicap Allowance
Active handicaps only - 2012 CONGU Certificates will be required
At least 2 team members should attend the prize giving
Entry Fee: £56 per team of 4  -  Meal: £12.50 per person

              Menu:Please indicate numbers  (a) Chicken -------- (b) Sea Bass ------------ (c) Vegetarian --------                                             Dessert & Coffee


If meals are required please pay with entry fee. Please advise any dietary requirements

Player A

H/Cap Club 

Player B

H/Cap Club

Player C

H/Cap Club

Player D

H/Cap Club
Name, Address & Telephone number of contact

Name

Address

 

Email

Telephone

Closing Date for Applications: March 28th 2012
Cheques made payable to: Blankney Golf Club Ladies Section

Entry form with s.a.e. to:
Mrs Rikki Czajkowski
Competition Organiser
109 Station Road
Bardney
LINCOLN
LN3 5UF

Telephone number: 01526 398671
Email: rikkichilady@yahoo.co.uk