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round of competition will be withdrawn from that event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