Gents Individual Open

@ Burhill Golf Club

Address to send entry:

Mr Pip Elson

Burhill Golf Club

Burwood Road, Walton on Thames,

Surrey, KT12 4BL

Cheque Payable to:

Burhill Golf Club (post dated to 20th April)

· Entry Fee: £50

· Closing Date: 20th April 2012

· Format: 36 Hole Individual Scratch Medal

· Handicap Limit: 5

· Age Limit: -

Other Info:

· Includes morning coffee, ploughman's lunch & afternoon tea.

· Surrey County Order of Merit Qualifying event.

· AM: Old Course, PM: New Course.

· Entry-form must be counter-signed by your club secretary.

1. Type your details in the spaces below 2. Print the entry-form 3. Post the completed form with payment to the above address

First Name:

Surname:

Golf Club:

Email:

Handicap:

Telephone:

CDH ID:

Address1:

Address2:

Town/City:

County:

*Start Time:

(ie: early/mid/late)

Postcode:

**DOB:

USE THE BELOW FOR PAIRS & TEAM EVENTS

* PREFERRED START TIME CANNOT BE GUARANTEED.

** DATE OF BIRTH REQUIRED FOR SENIOR & JUNIOR EVENTS ONLY.

TEE TIMES ARE USUALLY ALLOCATED ON A 'FIRST-COME FIRST-SERVED' BASIS EVEN WHEN A CLOSING DATE IS STATED.

ACTIVE CONGU HANDICAP REQUIRED - TAKE YOUR CERTIFICATE ON THE DAY. ENCLOSE SAE FOR TEE TIME NOTIFICATION.

PLEASE READ OUR ADVICE FOR GOLFERS REGARDING ENTERING OPEN GOLF COMPETITIONS IE: DRESS RULES, BUGGY POLICY ETC...