2000 Maine Seniors Championship

Entry Application

Poland Spring GC

Fairlawn CC

August 29 and 30, 2000

Name ______________________________________________________

Current Handicap Index ___________ MSGA Account # ______________

GHIN # or telephone # of person who can verify index __________________

Address _____________________________________________________

City _____________________________________ Zip ________________

Daytime phone ___________________ Evening phone _________________

Club affiliation _________________________________________________

Birthdate _____________________________________________________

Entry deadline: Friday, August 11, 2000 postmark.

Please mail completed application, along with check for $60, 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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