Club Name

Date of Club Qualifying Competition

Womens SSS from tee used for competition

County

Competition Organiser

Email (for notifying club winners)                                                                                                           

Handicap Cat 1, 2 & 3 (20& below) Winner                                                 Hcp       CDH No______________

Points scored (Please attach winning scorecard verified by Organiser)

Home Address                                                                                           

Tel. Nos

Email                                                                                                            

Handicap Cat 4 & 5 Winner (21-36)                                                             Hcp____CDH No______________               

Points scored (Please attach winning scorecard verified by Organiser)

Home Address                                                                                            

Tel. Nos

Email                                                                                               

Entry Fees (Min £20 per club) (Number of competitors entered in club event)....... x £1) = £.............

Please make cheques out to England Golf Trust and return this form to:

England Golf Trust

The Broadway

Woodhall Spa

Lincs LN10 6PU

Return by July 7^th Please. Clubs will be notified of the 30 club team pair’s qualifiers via the email address of the organiser above & will be put onto the Trust & England Golf websites.