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JACKSONVILLE AREA GOLF ASSOCIATION
2009 CITY AMATEUR CHAMPIONSHIP
EXEMPT ENTRY FORM

 


Your name    
No. & Street     
City & State  Zip
Your club  
  Hdcp Index
Phone No.     Email

Enclosed is a $250 check or money order payable to JAGA

Optional contribution to JAGA Scholarship Fund $

Verify your entries above then print this form.  Send it and your payment to:

                   Bob Streightiff
                  1312 Queens Island Court
                  JACKSONVILLE, FL 32225
                  221-4111

Exempt entry forms must be received by June 30, 2009 at 5 pm