WEST MEDAL PLAY CHAMPIONSHIP  
THE GOLF CLUB OF EDMOND
May 7-8,2018
(only enter address, phone, e-mail, if you are a new member or if this data have changed)

 (Pease Print)
Name_________________________________________Handicap_____Course______________

Address_________________________________________________Phone (____) _____-______

City________________________________________________________ Zip__________-______

E-Mail Address________________________Birth Date___/___/___   Age as of 5/7/18 ________


Check this box if you wish to play in the CHAMPIONSHIP FLIGHT (must play from back tees)



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ENTRY DEADLINE
May 2, 2018
Mail checks and this entry form to:
Terry Hansel
528 Hanging Elm
Norman, OK  73071

Cell: 405-834-3301
E-mail: thansel@cox.net
Makes checks payable to O.S.G.A.
Example         Fee                Fee Amount
       $150        Tournament     _________
       $  25          2018 Dues      _________

                   Total Submitted