Chambers Cup – Shotgun




                  LIMITED TO THE FIRST 30 PAID TEAMS

                        June 15, 2019, 12:30 shotgun

                               $200.00 per 4 person team


Team Name:______________________________________________­­­­­_____

Player 1 (Contact person) _________________________________________

 E-mail address__________________________________________________

Telephone Numbers (h) ____ _____________(cell) ____________________

Player 2 _______________________________________________________

Player 3 ________________________________________________________

Player 4_________________________________________________________

Will you require a power cart rental? 1 cart ________2 carts_______

We can provide a 4 player prize package    Yes_______   No__________

We will bring package to tournament   Yes___________

We would prefer someone pick up prize Yes________ Telephone: __________

We can provide item(s) for silent auction Yes________  No______________


 Please fax this application to 756-9891 OR

Scan and e-mail to  OR

Call clubhouse with information at 756-8129

Credit Card Number  ______________________________________________

Expiry Date _________________________________CRV_________________




This entry was posted in . Bookmark the permalink.