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No
ti
ce
the Starter's Sheet
Res
u
l
ts
REGISTRATION
I/We will be attending the MBA of SA Golf Club golf day at
KOOYONGA
Golf Club
on Friday
11 NOVEMBER 2016
– shot-gun start from 12:30 PM (registration from 11:45 am)
Golf carts if required should be personally booked through the club ~
on
8443 6162
Please indicate your choice(s) below.
Member / Guest #1
fields marked
*
must be filled in
.
*
Indicates required field
Player Name (1)
*
First
Last
Email
*
Indicate (1)
*
Member $105
Visitor $125
Kooyonga M $75
Kooyonga V $95
GA Handicap (1)
*
enter S for Social
Club (1)
*
In motorised cart ? (1)
*
No
Hired cart
Own cart
Dinner. . . . If applicable
*
Yes
No
Member / Guest #2
Player Name (2)
*
First
Last
Email (2)
*
Indicate (2)
*
Member $105
Visitor $125
Kooyonga M $75
Kooyonga V $95
GA Handicap (2)
*
enter S for Social
Club (2)
*
In motorised cart ? (2)
*
No
Hired cart
Own cart
Dinner - If applicable
*
Yes
No
Member / Guest #3
Player Name (3)
*
First
Last
Email (3)
*
Indicate (3)
*
Member $105
Visitor $125
Kooyonga M $75
Kooyonga V $95
GA Handicap (3)
*
enter S for Social
Club (3)
*
In motorised cart ? (3)
*
No
Hired cart
Own cart
Dinner - If applicable
*
Yes
No
Member / Guest #4
Player Name (4)
*
First
Last
Email (4)
*
Indicate (4)
*
Member $105
Visitor $125
Kooyonga M $75
Kooyonga V $95
GA Handicap (4)
*
enter S for Social
Club (4)
*
In motorised cart ? (4)
*
No
Hired cart
Own cart
Dinner - If applicable
*
Yes
No
Fees Payment
Amount Due
*
Please choose
*
I have mailed my cheque (to MBA Golf Club of SA, PO Box 4181 Norwood South SA 5067) - Payable to Master Builders Association SA Golf Club Inc.
Pay on the day (Cash or Cheque)
Bank Transfer to Bank Account (please send proof of payment)
Account Name: MBA of SA Golf Club Inc
Bank: Commonwealth Bank of Australia
BSB#: 065-125; Account#: 1035-1061
Sorry no credit cards; late payments will be received on the day
All payments should be sent in to the secretary before the day to reduce the workload. Thank you.
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