Lake County L G A Invitational Entry Form

Please print this form out, by clicking here, fill it in, and return it with payment and a copy of your handicap card(s) to:

LCLGA
Betty Olson
11117 62nd Street
Kenosha, WI 53142

Thank you for your interest in entering the Invitational. Please fill out the following information.

Name: __________________________________________________________

Address: _______________________________________________________

E-mail: ______________________________________________________

Phone: ________________________________

Club: _______________________________________

Handicap Index: ____________

Handicap Service: _______________________________

Entry Fee: $90.00

Cart: $10.00 __________

Extra Lunch Tickets: ________ @ $25.00/ticket _________________

TOTAL: ___________________

The following is for LCLGA use only

Date Received: ________________________________