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CLCGA

Cornwall Ladies County Golf Association
Championship & Handicap Cups
Launceston Golf Club (12th-15th April 2018)

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 Full Name:

 Contact email:

 Address: 

Post code 

 

Telephone :

 

Date of Birth
(under 25):

 

Over 55 
Oliver Cup:
Yes / No

Exact Handicap:

 

 CDH number:

 

For Western Evening Cup: Golf Club I represent:

  

I wish to continue to the match play stages:

Yes / No 

Number of people attending the Reception on 11th April

 

 Vegetarian / Special meal requirement: 

 

 

 Numbers

 Amount

Entry fee £ 32 each.   (including meals

 

 

 Extra meals £15 per head 

 

 

 Enclosed with form cheque payable to CLCGA   

 

OR  via internet and pay by BACS transfer made on  
please ref:  'Champs'

Date:

to CLCGA sort code 09.01.55
account no. 39382086

 Please send this form by 29 March 2018 to:
Jacquie Lang, 2 Atlantic Mews, Wheal Kitty, St. Agnes, TR5 0LT
Tel: 01872 552095 / 07881 827210

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