* Max. Handicap: Men 27 - Ladies 36
Title
First Name
Last Name
Company Name (if applicable)
Address
Suburb
State
Post Code
Phone
Fax
Email
Player 1 Name & Handicap*
Player 2 Name & Handicap*
Player 3 Name & Handicap*
Player 4 Name & Handicap*
I wish to register a team of 4 ($1000)
I wish to register: 1 person ($250) 2 people ($500) 3 people ($750)
I wish to register a hole sponsorship ($1500)
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