NGA HOOTERS TOUR
OPEN QUALIFYING
ENTRY FORM
Thunder Bayou Golf Links
Blytheville, AR Monday, July 17, 2006
Course Name Date
18 HOLES STROKE PLAY
TEE TIMES BEGINNING AT 8:00 AM
COMPETITIORS WILL WALK (CADDIES WELCOME)
PROFESSIONAL ATTIRE REQUIRED:
COLLARED SHIRTS
NO SHORTS OR JEANS
UP TO 10 SPOTS
ENTRY FEE (please circle one): $150.00 Members
$200.00 Non-Members
$250.00 Amateurs
NAME: S.S.N:
ADDRESS:
CITY: STATE: ZIP:
PHONE #’S: Home: ( ) Cell: ( )
PLEASE CIRCLE ONE: PROFESSIONAL AMATEUR
SUCCESSFUL QUALIFIERS PAY AN ADDITIONAL: $700.00 Members
(Due by 3pm the day after the qualifier) $750.00 Non-Members
*** Any player posting a score of 86 or higher in the first $250.00 Amateurs
round of competition will be withdrawn from that event
without refund***
Please make Cashiers Check or Money Order (No Personal) I, the undersigned, do promise that
Payable to: all information contained above is
True and that I agree to adhere to
Thunder Bayou Golf Links all NGA Hooters Tour regulations
1229 Perimeter Rd during qualifying and during the
Blytheville, AR 72315 aforementioned tournament.
(870) 532-2621
FX 870 532-6770
If you have any questions, please call NGA HOOTERS TOUR Signed:
1-800-992-8748