Entry Form | Mid South Coast Veterans Golf Association

Full Name*

Address*

Street Address Suburb Postcode

Contact Phone*

Email Address (Preferred)*

Home Club *

Golf Link No*

Current GA HCP

2BBB Partner

2BBB Partner Required [tick]

Number of Days Cart is Required for

Cart Bookings for ALL Days Contact Norm Levi. Phone: 0490 496 474

Sharing Cart with

Travelling with

Will Share a Cart [tick]

Days Being Played*

Mon
Tues
Thurs
Fri

2nd Entrant Surname

Given Name

Address

Street Address Suburb Postcode

Contact Phone

Email [preferred]

Home Club

Golf Link No

Current GA HCP

2BBB Partner

2BBB Partner Required [tick]

Sharing Cart with

Travelling with

Days Being Played

Mon
Tues
Thurs
Fri

Entry Fees

Includes a light lunch server after golf on all days.

Entries are limited to 132 due to shotgun starts on Days 3 & 4 and will be on first come basis although preference will be given to 4 day entries and then 3 day entries.

4 Days @ $140

Price: $140.00 Quantity:

Monday 10th Feb at Shoalhaven Heads, Tuesday 11th Feb The Country Club St. Georges Basin [36 Hole Event] Thursday 13th Feb Worrigee Links [NSWVGA Trophy] and 14th Feb Nowra G.C. [2BBB].

Amount payable

3 Days @ $120

Price: $120.00 Quantity:

Amount payable

Total Fees Paid

$0.00

Payment Arrangements

Fees must accompany nomination

I am paying by (please select)

Cheque
Direct Deposit

Surname in reference column

Cheques made payable to: Mid South Coast VGA PO Box 3145 North Nowra 2541

Direct Deposits with Applicant's Surname to
Commonwealth Bank BSB - 062585 ACC.# 28005668

2021 Entry Form will be updated in Due Course

Entry Fees

Payment Arrangements