Amateur Entry Application

The Woodlands * Portland CC * Purpoodock Club

Wednesday-Friday, August 9-11, 2000

Name ______________________________________________________

Current Handicap Index ___________

Address _____________________________________________________

City ______________________________ State _____ Zip _____________

Daytime phone ___________________ Evening phone _________________

Club affiliation _________________________________________________

Entry deadline: July 21, 2000, postmark

Please mail completed application, along with check for $135, to:

MSGA, 374 US Route One, Yarmouth ME 04096

For More Information, please contact:
Maine State Golf Association, Inc.
Nancy S. DeFrancesco, Executive Director
Jane Gildart, Administrative Assistant
Romeo Laberge, Tournament Director
374 US Route One
Yarmouth, Maine 04096
207-846-3800
207-846-4055 Fax

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