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Page 1: Est amopen 2014 entry form

Estonian Amateur Open ChampionshipsMen & Ladies

Septemeber 11 to 13 , 2014Saare Golf Club

ENTRY FORM Closing Date : 8th September 2014, at 12:00

Estonian Golf Associationemail [email protected]

Last Name : ______________________________________________________________ First Name: ______________________________________________________________Home Club: ______________________________________________________________ Male : Female: Full address : ______________________________________________________________Phone: ______________________________________________________________ E-male: ______________________________________________________________Date of Birth: _____/_____/___________ Nationality: _______________________Exact Handicap: ________.________ (handicaps better than scratch must be indicated as „plus“ or „+“)Exemptions:I have read the Rules of Amateur Status and conform with them in every respect,therefore I am eligible to compete the Condition of the Championships.___________________________________________________________________________

Date: _____/_____/___________

Siganture: _____________________________________________________________

Entries must be certified by the Home Club Secretary, Handicapping Authority or Association/UnionDate: _____/_____/___________ Siganture: _____________________________________________________________

Important: The ENTRY Fee of 100 EURO is to paid upon registration at the golf club.

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