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Registration
Entry Deadline April 25th

Club or Course

Street Address

City

State

Zip

Phone

Fax

E-mail

Superintendent’s Name

USGA Index

GHIN #

Professional’s Name

USGA Index

GHIN #

Additional Player #1

USGA Index

GHIN #

Additional Player #2

USGA Index

GHIN #

Purchase Order Number

TOTAL

$

OGCSA • P.O. Box 820210 • Vancouver, WA 98682-0004 • Tel 1.877.375.1330 • Fax 360.892.5118 •
Copyright © 1997 OGCSA • All Rights Reserved