NAME: _________________________________________________________________________________________________

ADRESS: _______________________________________________________________________________________________

E-MAIL: ________________________________________________________________________________________________

DIVISION: (please choose one of the four)

OPEN         SENIOR (over sixty)         SUPER SENIOR (over seventy)         LADIES

HANDICAP: SoHG HICKORY _______ or MODERN (if you have no hickory handicap) ________

COST(includes practice round ): $240.00 (entries close August 1, 2010)

Shirt size (please circle):   Medium           Large             Extra-Large        Extra-extra Large    

EXTRA MEALS for Guest(s) (at $20 per meals)
-- for Saturday________________
-- for Sunday _________________

Send entry with cheque payable to Paul Dietz to :

Paul Dietz

509 Hedden Court

Sarnia, Ontario, Canada

N7S 6L8

FOR FURTHER INFORMATION:
 
Please contact .....

Paul Dietz

519-331-6585