*Name:
*I am a Member of The	Asheville, NC Charleston, SC Charlotte, NC Cinncinati, OH Columbia, SC Denver, CO Columbus, OH Detroit, MI Down East NC Gulf Coast Hilton Head, SC Houston, TX Jacksonville, FL Lexington, KY Louisville, KY Mississippi Tour Myrtle Beach, SC Nashville, TN North Louisiana, LA Northeast, GA Northern Virginia Tour Ohio River Tour Orlando, FL Pinehurst, NC Raleigh, NC Tampa, FL Tri-Cities, TN Triad, NC Upstate SC Virginia Beach, VA Western Michigan Western Piedmont, NC Tour
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*Choose A Tournament	Broadmmor Etowah Valley Cummings Cove Apple Valley Cleghorn CC Black Mountain Bald Mountain Reems Creek Broadmoor
*I will be playing in the	Championship Flight "A" Flight "B" Flight "C" Flight "D" Flight
*Please enter me in the	Senior Golf Tour
By agreeing below, I am hereby indicating that I understand that I am registering for the above selected tournament. I understand that If for some reason I am unable to attend the tournament, I will be responsible for payment of the tournament entry fees if payments have already been made to the host course. Agree          Disagree

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