DEVON GOLF & C.C.  

Presents The

 DEVON CLUB CHAMPIONSHIP, SEPT 3rd & 4TH, 2011

Full & Associate Members Only

 

Division: (Please Circle One)  Senior Men's      Men's     Ladies     Senior Ladies    Marigold

           

NAME:________________________________________________ FACTOR:_________

 

ADDRESS:______________________________________________________________________

 

CITY:_____________________PROV.:_________POSTAL CODE:____________________

 

HOME PH #:____________________ BUSINESS PH #____________________________

 

PHONE # ______________________

 

POWER CART: Y/N________ ENTRY FEE (Deadline Aug 31, 2011)   $16.00, MEMBERS

            

PAYMENT:  CASH_____CHEQUE #________CREDIT CARD: VISA ____ M/C ____ AM EX ____

 

CARD #___________- ___________-____________-___________        

 

EXP .DATE:______/______

 

SIGNATURE ______________________________________________________

 

 

PRINT AND SEND PAID ENTRIES TO:

DEVON GOLF & C.C.,    1130 RIVER VALLEY,      DEVON, AB       T9G 1Z3

PHONE # 987-3477

Fax: 987 3300