Entry Form - Mid South Coast Veterans Golf Association

First Entrant Information

First Entrant Given Name*

First Entrant Surname*

Address*

Street Address Suburb Postcode

Contact Phone*

Email Address (Preferred)*

Home Club *

Golf Link No*

Current GA HCP

Entry Information

Preferred tee time Monday and Tuesday only

Early
Late

Will you be playing with your travelling partner or someone else?

Travelling Partner
Someone Else

I wish to play with travelling partner on

Monday
Tuesday
Thursday
Friday

Please indicate who you wish you play with*

If left blank, you will be paired with someone else to share a cart with

Which days are you playing

Monday
Tuesday
Thursday
Friday

Play in groups of

Same Gender
Mixed Gender
Don't Care

Transport On Day

Days Playing Please indicate if you will be walking/using a cart on the days below.

Walking

Monday
Tuesday
Thursday
Friday

Own Cart

Monday
Tuesday
Thursday
Friday

Hire Cart Required

Monday
Tuesday
Thursday
Friday

Share Cart

Monday
Tuesday
Thursday
Friday

Please indicate if you have someone particular you want to share a cart with

If left blank, you will be paired with someone else to share a cart with

Friday Only - 2 Person Ambrose Partner

Please indicate who your partner will be, leave blank if you need to be given a partner

Are you filling in information for a second entrant?*

No
Yes

Second Entrant

2nd Entrant Given Name*

2nd Entrant Surname*

2nd Entrant Address*

Street Address Suburb Postcode

2nd Entrant Contact Phone*

2nd Entrant Email (preferred)

Would you like your entry confirmation sent to the same address as entrant #1?*

No
Yes

2nd Entrant Home Club*

2nd Entrant Golf Link No*

2nd Entrant Current GA HCP

Entry Information

2nd Entrant Preferred tee time Monday and Tuesday only

Early
Late

2nd Entrant Will you be playing with your travelling partner or someone else?

Travelling Partner
Someone Else

I wish to play with travelling partner on

Monday
Tuesday
Thursday
Friday

Please indicate who you wish you play with*

If left blank, you will be paired with someone else to share a cart with

Or play with someone else

Monday
Tuesday
Thursday
Friday

Play in groups of

Same Gender
Mixed Gender
Don't Care

Transport On Day

Days Playing Please indicate if you will be walking/using a cart on the days below.

Walking

Monday
Tuesday
Thursday
Friday

Own Cart

Monday
Tuesday
Thursday
Friday

Hire Cart Required

Monday
Tuesday
Thursday
Friday

Share Cart

Monday
Tuesday
Thursday
Friday

Please indicate if you have someone particular you want to share a cart with

If left blank, you will be paired with someone else to share a cart with

Friday Only - 2 Person Ambrose Partner

Please indicate who your partner will be, leave blank if you need to be given a partner

Cart Hire fee is $35 per Cart maximum across all Courses. Tournament Director to coordinate carts and it may be necessary to share carts where carts are in limited supply.

Entry Fees

Includes a light lunch served during 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 @ $155

Price: $155.00

Monday 12th February - Shoalhaven Heads [Day 1 of 36 hole event]
Tuesday 13th February - The Country Club St. Georges Basin [Day 2 of 36 hole event]
Thursday 15th February - Worrigee Links [NSWVGA Trophy]
Friday 16th February - Nowra Golf Club [2 Person Ambrose].

Amount payable

3 Days @ $125

Price: $125.00

Amount payable

2 Days @ $90

Price: $90.00

Amount payable

Total Fees Paid

$0.00

Payment Arrangements

Entry not accepted until fees received. Email confirmation when entry received.
Preferred payment is by Direct credit or by transfer through your bank to our account.

I am paying by (please select)

Cheque
EFT Transaction

Surname in reference column

EFT Transaction to
IMB Bank BSB: 641-800 Account: 200897608
with surname in reference column

Cheques made payable to:
Mid South Coast VGA

Address:
5 Frederick St.,
Vincentia 2540