MURRUMBATEMAN RURAL SUPPLIES — FAIRBAIRN OPEN

3-4 NOVEMBER 2018

PRIZES VALUED IN EXCESS OF $5,000

ENTRY FEE $60


ENTRY FORM

Murrumbateman Rural Supplies

 FAIRBAIRN AMATEUR OPEN

3 – 4 NOVEMBER 2018

 Men’s Stroke Event

Divisions will be determined based on number of entries received, provisionally A, B & C Grades, Juniors & Veterans

ENTRY FEE: $60.00per player (must accompany form)

PAYMENT MAY BE MADE by CASH, CHEQUE, CREDIT CARD (VISA & MATERCARD only) or DIRECT DEPOSIT.

CONTACT: __________________________         HOME CLUB: _______________________
 PHONE:_________________________          E-MAIL:____________________________
NAME
GOLFLINK NUMBER
HANDICAP
Veteran (55 and over)
Junior (18 or under)
PRESENTATION
YES  (    ) / NO
YES  (    ) / NO
YES  (    ) / NO
YES  (    ) / NO
 
PREFERRED TEE TIME: _____Tee times are between 06:40 and 12:00 and will be allocated in order of receipt
Presentation will be held at approximately 5:00pm on Sunday.  Players may invite 1 guest to attend Presentation. (Please indicate above the number attending).

Signature: ____________________________________                Date: _________________________

 

Entries close 29 October 2018 or when maximum entries are received.

CREDIT CARD PAYMENT

Visa / Mastercard               Amount:  $______________

Card Number:  _ _ _ _  _ _ _ _  _ _ _ _  _ _ _ _

Expiry Date:  ____/____

Signature: __________________________________________

RETURN ENTRY FORM TO:

Fairbairn Golf Club Inc   P.O. Box 1535  FYSHWICK   ACT  2609

Telephone: (02) 62579000

Fax:            (02) 62579099

Email: fairbairngc@netspeed.com.au

DIRECT DEPOSIT:             FAIRBAIRN GOLF CLUB INC.

BSB     833205            ACCOUNT #             20515938

REF; (Contact Surname)

Web:   www.fairbairngolfclub.com.au