Closing date for entries June 6, 2010: Must be postmarked no later than June 6, 2010 or a $25 late fee must be included

(Please complete this form online)
  Title:     First Name:     Last Name:  

Age:  

Address  

Check One

City  

    Open

Country  

    Senior  ( 55 years old and up)

State  

      Super Senior  ( 70 years old and up)

Zip Code  

    Women

  E Mail Address         

  Note: Your email address must be valid. Otherwise your    application will   be rejected.

   Phone () - -
VP   TTY

EMERGENCY
CONTACT

Contact Name:  

  

Relationship:  

  

Phone   

 () - -  VP   TTY  VRS  

E mail:  

  

Average Golf Score:

  Handicap ?  Yes   No

*(rule see below)

   Hall of Fame Member: Yes   No
   Picture     Yes  No

 Banquet Ticket(s)  How Many?   

    Officer of SEDGA      Yes    No
Entry Fees: Open - $235 / Seniors - $230
(Entry fees include Membership - $15 ($10 for Seniors);
Prize - $50; Registration - $5 and Greens/cart - $165)
 *Optional Fees: Banquet - $25 / Group Picture - $10 / Handicap Tournament- $20
Please return the entry form,
check or money order to:
David L Booker
5127 Montrose Rd
Knoxville, TN 37918-2276

Make payable to SEDGA 2010 Your entry form is not valid without an appropriate check or money order

Do not type in the boxes below.   Just click Calculator only.    

   Entry Fee ($235/$230 Senior):

   *Banquet: ($25):Optional:

   *Group Picture($10) Optional:

   *Handicap Tournament: ($20) Optional:

   Late Fee; ($25):

        Grand Total  

* Handicap -- In order to participate in the handicap tournament, you must have played in a SEDGA tournament in the last five years.       

    

Please wait patiently after you click "SUBMIT" to allow sufficient time for the information to be processed. Please do not double-click. Thank you.