OPEN COMPETITION ENTRY FORM 2010

COMPETITION NAME: .………………………………………………………………………………………………

Date of Competition: ……………………………………………………………………………………………………

Preferred Start Time: ……………………………………………………………………………………………….

Name (Block Letters) …………………………………………………………………………………………

Address: …………………………………………………………………………………………………………………..

…………………………………………………………………………………………………………………..

Post code: …………………………….. E.mail: ……………………………………………………………….

Tel. No. (Work) …………………………………………. (Home) ……………………………………..

Date of Birth: ……………………………………..

HOME CLUB: ………………………………………………………………….Exact Hcp: ………………………..

Partners’ Names & Handicap (if applicable) ………………………………………………………….

………………………………………………………………………………………………………………………………………….

I AGREE TO PROVIDE A CURRENT HANDICAP CERTIFICATE IF REQUIRED ON THE DAY OF COMPETITION.

Start times are generally allocated geographically, unless specifically requested to the contrary.

I enclose a cheque for £ in payment of the required Entrance Fee

(cheques to be made payable to “Taunton & Pickeridge Golf Club”)

Signature of entrant: ………………………………………… Date …………………………

Please return this form to the address at the top of the page