FALL GOLF OUTING
DORNICK HILLS COUNTRY CLUB - ARDMORE, OK
OCTOBER 21-22, 2019
(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 10/21/19 ________

PARTNER (partner must​ submit separate entry form)

Partner's Name________________________________Handicap______Course_______________




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ENTRY DEADLINE
 October 16, 2019
Make Checks payable to O.S.G.A. Send entry with check to:

Terry Hansel
528 Hanging Elm
Norman, OK  73071

Cell: 405-834-3301
E-mail: thansel@cox.net
Example         Fee                Fee Amount
       $150        Tournament      _________
       $  25*         2019 Dues     _________

                 Total Submitted      _________

 * If not paid earlier this year

  Wife/Guest attending (Y/N)   _________