2017 ACT 2 Person Ambrose. Saturday & Sunday 21st & 22nd of October 2017

Teams of 2 Men or 2 Ladies only – no mixed teams. 7:00am – 12:00pm Tee times Saturday
Seeded draw – tee times to be advised Sunday
$100 Per Team Entry. Includes food and drink voucher at presentations.

TEAM ENTRY FORM

Player 1
Surname………………………………………………………
First Name…………………………………………………..
Home Club…………………………………………………..
Contact Phone………………………………………………

Handicap……………………………………………………..
Golflink#……………………………………………………..

Player 2……………………………………………………….
Surname………………………………………………………
First Name…………………………………………………..
Home Club…………………………………………………..
Contact Phone……………………………………………….

Handicap………………………………………………………
Golflink#………………………………………………………

Preferred tee time (Sat only) : 7:00-8:30 8:30-10:00 10:00-12:00 (Please circle one)

Entries close at 6 PM Wednesday 18th October 2017.
Motorised Golf Cart required – Y or N please circle.
(Cost of cart hire per day $40 non Blackcap members)

Method of Payment: Total Payment – $
? Cash
?Credit Card Card Number: ———————— / ———————— / ———————— / ———————— Expiry Date : ——— / ———

Authorising signature:
Tax invoices and receipts will not be issued unless requested. – Payments will be refunded to excess players if the event is filled.

Completed Entry Forms should be returned to
Gold Creek Country Club Pro Shop
Curran Drive, Nicholls, ACT 2913 : Phone: (02) 6123 0601 : Email: proshop@goldccc.com.au