2010 Brooks National Golf Club
Pro--Am
Tuesday--Wednesday, July 6-7, 2010
Entry Deadline Tuesday, June 22rd
Professional Entry Application

Name: _________________________________________
Addrress: ______________________________________
City: _________________ State:: ______ Zip: _________
Phone:: _____________ Cell Phone:: ________________
Social Security #: ________________________________

Email __________________________________________
Entry Fee $450.00
Payment Type:: ____Check ____Money Order ____C.C. *
*Credit Card Information (Visa, Mastercard, or American Express):
Name on Account: ______________________
Type off Card: _________________________
Card Account #: ________________________
Expiration Date: ________________________

Send or Fax entry to:
Brooks National Golf Club C//O Pro Entry
P.O. Box 227
Okoboji, IA 51355
Phone # 712-332-5011
FAX: 712-332-2094