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Laguna National Golf and Country Club Ltd Co. Reg. No: 199100895M

11 Laguna Golf Green Singapore 488047 Tel: 6542 6888 Fax: 6542 1132 www.lagunanational.com

The Laguna National – SPGA Golf Series Pro-Am Tournament 2012 30th November 2012 Laguna National Golf & Country Club – Masters Course OFFICIAL ENTRY FORM

INDIVIDUAL ENTRY: NAME: ____________________________

GENDER ________

TEL NO. ______________ E-MAIL ADDRESS: ________________________ DATE OF BIRTH: ______________ HANDICAP INDEX: _________________ HOME CLUB: _________________

FLIGHT ENTRY: 3 Players per flight with SPGA Golf Professional Player 1 _______________________ Gender ____ Hcp. ____ Club _______ Player 2 _______________________ Gender ____ Hcp. ____ Club _______ Player 3 _______________________ Gender _____Hcp. ____ Club _______ CLOSING DATE: 23 November 2012 /5:00 PM Entry Fee - $ 100 for LNGCC Member / $ 230 for Guests (Nett) Payment authorization: Name: ___________________________ Kindly charge the entry to my membership No. _______, Club ________. The amount of $ ____________ for the individual entry/ Flight entry.

__________________ Signature

__________ Date

Payment made by cheque: * Attached cheque payable to Laguna National Golf & Country Club Ltd. • • •

No entry fee will be refunded for withdrawals after the entries close. Only entry forms with payments attached will be accepted. In the event that the response is overwhelming, Entries will be based on a first come first serve basis.

LAGUNA NATIONAL –SPGA GOLF SERIES PRO-AM TOURNAMENT


Laguna SPGA Entry Form