Minot, ND Entry

Registration will open April 1, 2011 for players on the 2011 exempt list.  For all others, registration will begin April 15.

Professionals Entry Form

2011 Western ND Pro-Am
August 18-21
Contact: Todd H. Lee,
Minot Country Club, Box 250,
Burlington, ND 58722
Golf Shop Phone: (701) 839-6169

ENTRY FEE: $650
SEND TO:
Todd H. Lee,
Minot Country Club,
Box 250, Burlington, ND 58722
Golf Shop Phone: (701) 839-6169

Player’s Name _____________________________________

PROFESSIONAL SOCIAL SECURITY NUMBER
_________________________________________________

Home Address _____________________________________

City______________________________________________

State________________ Zip Code_____________

Phone _________________

Email__________________

Best Pro Finishes___________________________________

_________________________________________________

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Registration will open April 1, 2011 for players on the 2011 exempt list.  For all others, registration will begin April 15.

Register on-line HERE