Tall Tower Entry Form

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  • 8/16/2019 Tall Tower Entry Form

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    48th Tall Tower Open

     June 24, 25, 26

    Presented by

    &

    Benefitting

    ENTRY FEE:

    Champ. & Pres: $195

    City Permit Holders-Pres: $132

    Field 1-8: $160

    Field: $118

    Name:___________________________________________________Phone: (___) _____-______________

    2016 USGA Handicap Index:___________ Home Course:________________________________________

    Location:_________________________________________________Phone: (___) _____-______________

    PGA Professional:_________________________________________________________________________

    Amount Paid: $___________________Method of Payment (check one): Cash____ Check____ Credit_____

    If card (check one): Visa____ MC____ AmEx___ Discover___ Name on card:_______________________

    Credit Card No.________________________________________ Esp. Date:__________________________

    3-digit CVV Code:_____________ Billing Phone: (___)_____-_____________________________________

    Billing address:_______________________________ City:________________ State:______ Zip:_________

    Send entries to Ross Rogers Golf Course 722 NW 24th Ave. Amarillo Texas 79107

    Sherwin Cox