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Wasatch Golf Association of the Deaf
HOST REGISTRATION FORM
42nd Annual FWGAD Golf Tournament
August 8th-11th, 2011
PERSONAL INFORMATION
Name:
Address:
City:
State/Province: Zip/Postal Code:
Average Golf Score: VP #_______________________
Email Address:
ENTRY FEES
(Includes membership dues, 3 rounds of green fees and cart fees, program book, cash prize and banquet)
____ $275.00 - Standard Golfer Registration Fee postmarked by July 1st, 2011.
____ $55.00 - Optional Budget friendly plan - A 5 month payment plan Mar thur July 1st
____ $300.00 - Late Registration - Money Order or Cashier's Check in Mail Only
postmarked on or before August 1st, 2011.
____ $325.00 - At the Door Registration. Cash Only!
____ $35.00 - Non-Golfer/Fan Registration Fee/Banquet.
Name:
OPTIONAL GOLF
Friday - August 12th, 2011
Fundraiser for Melissa Stockton - World Deaf Golf Champion
____ $70.00 - Per Person -Deaf Champ Tournament @ Park City Golf Course
2-Man Best Ball - Gross/Net Prizes
Total _____________ - Write check payable to "WGAD"
Send To: Melissa Stockton
7396 N. Whileaway Rd West
Park City, Utah 84098
VP# 877-712-1685
For Information please contact Tournament Chairperson - Mitch Phillips VP# 801-784-6955 or Email mpgolf67@gmail.com
DISCLAIMER
No full refund after August 1st, 2011. $50.00 entry fee is non-refundable, regardless of the
circumstances. In case of an extreme emergency, a portion of the entry fee may be refunded.
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