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 forCart Hire fee is $30 per Cart across all Courses To book a cart contact the respective Pro Shop: Shoalhaven Heads St Georges Basin Worrigee Nowra (02) 4448 8683 (02) 4442 0836 (02) 4421 7430 (02) 4421 3900 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 FeesIncludes 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 @ $140 Price: $140.00 Quantity: Monday 8th Feb at Shoalhaven Heads, Tuesday 9th Feb The Country Club St. Georges Basin [36 Hole Event] Thursday 11th Feb Worrigee Links [NSWVGA Trophy] and 14th Feb Nowra G.C. [2BBB].Amount payable3 Days @ $120 Price: $120.00 Quantity: Amount payable2 Days @ $80 Price: $80.00 Quantity: Amount payableTotal Fees Paid Payment ArrangementsFees must accompany nominationI am paying by (please select) Cheque EFT Transaction Surname in reference column Cheques made payable to: Mid South Coast VGA C/O Shoalhaven Week Of Golf 166/110 The Wool Road, Worrowing Heights, NSW 2540 EFT with Applicant's Surname to Commonwealth Bank BSB - 062585 ACC.# 28005668
