Location__________________Date_______ Entry$ ______Cart$ ________ Total$ ________

My Club is_________________ [   ] Plan to bring own power cart, share with______________

Name_____________________________ Age_____H’Cap Factor_____Phone #__________

(Subject to host club restrictions, check [ X ] only one of the applicable boxes)

I will walk the course [   ].  Although I am able to walk, I prefer to share a rental power cart [    ]. 
I must have a rental power cart; if not available cancel my application and advise me [   ].

Submit cheque 2 weeks in advance of the tournament date and payable to: Seniors Tournament Chairman

Location__________________Date_______Entry$ ______Cart$ ________ Total$ ________

My Club is___________________[   ] Plan to bring own power cart, share with____________

Name_____________________________ Age_____H’Cap Factor_____ Phone #_______________

(Subject to host club restrictions, check [ X ] only one of the applicable boxes)

I will walk the course [   ].  Although I am able to walk, I prefer to share a rental power cart [    ]. 
I must have a rental power cart; if not available cancel my application and advise me [   ].

Submit cheque 2 weeks in advance of the tournament date and payable to: Seniors Tournament Chairman

Location____________________Date______Entry$ _______ Cart$ ________ Total$ ________

My Club is____________________ [   ] Plan to bring own power cart, share with_____________

Name_____________________________ Age_____H’Cap Factor______Phone #____________

(Subject to host club restrictions, check [ X ] only one of the applicable boxes)

I will walk the course [   ].  Although I am able to walk, I prefer to share a rental power cart [    ]. 
I must have a rental power cart; if not available cancel my application and advise me [   ].