First Entrant InformationFirst 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 InformationPreferred 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 withWhich days are you playing Monday Tuesday Thursday Friday Play in groups of Same Gender Mixed Gender Don't Care Transport On DayDays 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 withFriday Only - 2 Person Ambrose Partner Please indicate who your partner will be, leave blank if you need to be given a partnerAre you filling in information for a second entrant?* No Yes Second Entrant2nd 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 Information2nd 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 withOr play with someone else Monday Tuesday Thursday Friday Play in groups of Same Gender Mixed Gender Don't Care Transport On DayDays 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 withFriday Only - 2 Person Ambrose Partner Please indicate who your partner will be, leave blank if you need to be given a partnerCart Hire fee is $30 per Cart across all Courses. Tournament Director to coordinate carts and it may be necessary to share carts where carts are in limited supply.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 @ $150 Price: $150.00 Quantity: Monday 14th February - Shoalhaven Heads [Day 1 of 36 hole event] Tuesday 15th February - The Country Club St. Georges Basin [Day 2 of 36 hole event] Thursday 17th February - Worrigee Links [NSWVGA Trophy] Friday 18th February - Nowra Golf Club [2 Person Ambrose]. Amount payable3 Days @ $120 Price: $120.00 Quantity: Amount payable2 Days @ $90 Price: $90.00 Quantity: Amount payableTotal Fees Paid $0.00 Payment ArrangementsEntry 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 PO Box 4001, East Nowra 2541 Δ
