2008 Handicap Registration Form

 

    

 

Name                        __________________________________________

 

Address                     __________________________________________

 

City, State, Zip           __________________________________________

 

Phone Number            __________________________________________

 

E-Mail Address           __________________________________________

 

Ghin Number              __________________________________________

 

Local Number            __________________________________________

 

Handicap fees are $24.00

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

 

Activated in Ghin    Date ____________        Staff Initials ___________