MOTHER LODE INVITATIONAL

July 17^th, 18^th and 19^th, 2008

ENTRY FORM

Property Owner____________________________________ Unit/Lot__________

Street Address_________________________________ City__________________

State__________Zip __________ Phone Number ____________________

Home Club ______________________ GHIN/NCGA # ___________________

E-Mail Address _____________________________

Guest Name____________________________________

Street Address__________________________________ City__________________

State___________Zip __________ Phone Number ____________________

Home Club ______________________ GHIN/NCGA # ___________________

Tournament Handicap

Low Index 8/1/07 – 7/01/08

Deposit $ 100 or Entry Fee Team $480 __________

Extra Dinners @ $ 30 __________

Total Paid (No refunds after 6/15/08) __________

(Balance Due June 1^st 2008 if making a deposit to guarantee your entry)

Make Checks Payable to: Mother Lode Invitational

Send to: P.O. Box 4

Groveland,Ca. 95321

Questions Contact: Tom Bickmore (Tournament Director) 209-962-5517

tombick@sbcglobal.net

Chris Borrego (PML PGA Pro) 209-962-8620

MOTHER LODE INVITATIONAL BOARD MEMBERS

John Baker (President) 209-962-6295 – Larry Hunt (Vice President)

Frank Jablonski (Secretary) 209-9624375 – Dick Stevens (Director) 209-962-4348

For Committee Use Only:

Balance Due __________ Date Paid ___________