Groton Entry
Professional Entry Application
Groton, SD
Olive Grove Pro-Am
July 22
Name: _____________________________
Address: ___________________________
City: __________State: ____ Zip: ____
Phone: __________Cell Phone: ______
Social Security #: ______________________
Email Address: ________________________
Entry Fee $200.00
Payment Type: ____Check ____Money Order ____C.C. *
*Credit Card Information (Visa, Mastercard,
Name on Account:_____________________
Type of Card: ________________________
Card Account #: ______________________
Expiration Date: ______________________

Send entry to:
Pro Entry
Olive Grove Golf Course
700 E 5th Ave
PO Box 617
Groton, SD 57445
Vicki Walter, Club Manager
605 397-4653
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