2000 Maine Mixed Championship

Riverside Golf Club

August 27

MSGA Member's Information

Name_________________________________

MSGA Account #________ Handicap Index________

Address______________________________________

City__________________________ ZIP___________

Daytime phone_________ Evening phone__________

Club affiliation________________________________

Partner's Information

Name_______________________________________

GHIN # (if any)________ Handicap Index________

Address_____________________________________

City__________________________ ZIP __________

Daytime phone_________ Evening phone_________

Club affiliation _______________________________

Entry Deadline: Monday, July 24^th or until full

Please mail completed applications, along with a check for $35 per person to MSGA,

374 U.S. Route One,

Yarmouth, Maine 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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