EL ZAGEL-BUILDERS MANAGEMENT & INVESTMENT PRO-AM
OXBOW COUNTRY CLUB
WEDNESDAY, Aug 25, 2009
Professional Entry Application
Name: _________________________________________
Addrress: ______________________________________
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, or American Express):
Name on Account: ______________________
Type of Card: __________________________
Card Account #: ________________________
Expiration Date: ________________________
Send or Fax entry to:
JOHN DAHL, PGA GOLF PROFESSIONAL C/O Pro Entry
OXBOW COUNTRY CLUB
130 OXBOW DRIVE
OXBOW, ND 58047
Phone # 701 588-4669
JDGOLF@OXBOWCC.COM
