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14th Annual Southwest Florida EWGA Ladies Charity Pro-Am – April 29-30, 2017 (Saturday & Sunday) at Wyndemere CC in Naples, FL

Team or Individual Sign-up Form Sign up early, to secure your spot! IMPORTANT: Teams will not be considered registered until full payment has been received by all three amateurs in the foursome. One form should be completed by one team member for team registrations. Single registrations will be accepted and teams created in order of receipt of payment. If you have made arrangements to play with a specific pro, include Pro information in box below. Handicaps will be verified on April 15, 2017.

Amateur Fee - $185 / Pro Fee $85 / Team Fee $640 LPGA PRO NAME:

Player 3 Name:

Street address

Street address

City, State, ZIP

City, State, ZIP

Phone #

HDCP INDEX:

NA

Phone #

HDCP INDEX:

Attending Sat Night: Y or N Email Address:

HDCP Provider:

NA

Attending Sat Night: Y or N Email Address:

HDCP Provider (e.g. GHIN or EWGA):

Credit Card # Exp. Date

Credit Card # 3 digit CVV code

Billing Zip

Exp. Date

Single Registration Y or N Player 2 Name: Street address

Player 4 Name:

City, State, ZIP

City, State, ZIP

3 digit CVV code

Billing Zip

Street address

Phone #

HDCP INDEX:

Phone #

HDCP INDEX:

Attending Sat Night: Y or N Email Address:

HDCP Provider (e.g. GHIN or EWGA):

Attending Sat Night: Y or N Email Address:

HDCP Provider (e.g. GHIN or EWGA):

Credit Card # Exp. Date

Credit Card # 3 digit CVV code

Add guest for Sat night Reception - $55

Billing Zip

Exp. Date

Name ________________________________________

3 digit CVV code

Billing Zip

Email __________________________________________

Please make checks payable to SWFL EWGA and mail your entry form to Lori Drumm, 73 Silver Oaks Circle, #10102 Naples, FL 34119. If you have any questions on registration – please contact Lori at [email protected] or home phone , 239-304-0579. If you prefer to call in your credit card information, please note on the form and Lori will contact you upon receipt of entry. Visa, MasterCard or American Express is accepted.