35^th Senior Championship – Gross Division

August 26 and 27, 2008

Country Club of New Hampshire
North Sutton, NH

Age Divisions: 55-62, 63-69, 70-74, 75 and UP

Enclose entry fee of $110 (includes 2 days cart fee) payable to NHGA

Send payment to:

New Hampshire Golf Association, P.O. Box 486, Wolfeboro, NH 03894

NAME _____________________________________________________________________

ADDRESS _____________________________________PHONE______________________

CITY __________________________________STATE _______ ZIP __________________

CLUB _______________________________


AGE (As of AUG. 28)__________________ DATE OF BIRTH __________________________

EMAIL ADDRESS _______________________________________________

GHIN NUMBER (NOT HANDICAP INDEX) ____________________________

___ I DO NOT WANT MY PICTURE ON THE WEBSITE

I agree to the championship regulations on the pages of the application. I have read and understand the requirements of eligibility and for acceptance of this entry. I agree this entry is subject to approval or rejection at any time by the New Hampshire Golf Association at its discretion. All contestants must abide by the rules of the host club.

Signature of Applicant _______________________________________ Date ________________

Senior -gross