Williston Entry
Professional Entry Application
The Links of North Dakota Pro-Am
The Links of North Dakota
Aug 16, 17

Name: _____________________________________
Address: ___________________________________
City: ___________________________ State: ______
Zip: _________Phone:_____________
Cell Phone: ______________________
Email___________________________
Social Security #: __________________

Entry Fee $300.00
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:

Pro-Am Entry
JAKE KASZA , PGA Professional
PO Box 850
Williston, ND 58802
701 568-2600

Entries will be taken until August 10th or when the field reaches 54 professionals.
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