MOTHER LODE INVITATIONAL
July 19th, 20th and 21st
2007
ENTRY FORM
Property
Owner____________________________________
Unit/Lot__________
Street
Address__________________________________
City__________________
State__________ Zip
__________ Phone Number ____________________
Home Club ______________________
GHIN/NCGA # ___________________
E-Mail Address _____________________________
Golf Glove Size: Property Owner_________ Guest_________
Guest
Name____________________________________
Street
Address__________________________________
City__________________
State__________ Zip
__________ Phone Number ____________________
Home Club ______________________
GHIN/NCGA # ___________________
Low
Index 8/1/06 – 7/01/07
Deposit $ 100 or Entry Fee Team
$480 __________
Extra Dinners @ $ 30
__________
Total Paid (No refunds after
6/15/07) __________
(Balance Due June 1st
2007 if making a deposit to guarantee you’re entry)
Make Checks Payable to: Mother Lode
Invitational
Send to: P.O. Box 4
Groveland,Ca. 95321
Questions
Contact: Tom Bickmore (Co-Chairman)
209-962-5517
John Baker (Co-Chairman)
209-962-6295
Chris Borrego (PML
PGA Pro) 209-962-8620
For Committee Use Only:
Date Paid ________ Balance due June1st 2007 ___________