Contact Information
Your Information
First Name:
  
Last Name:
  
Badge Name:
Gender:
Email:
  
Club Name:
Mobile Phone:
Secondary Phone:
Address 1:
Address 2:
City:
Zip/Postal Code:
Country:
State/Province:
Golf Association:
GHIN # (Your golf association number):
What is your current World Handicap Index (this is not your club index):
Senior (over age 70) Yes or No:
# of USCGFR Tournaments attended including 2023:
Comments::
 
Your Partner/Guest Information
First Name:
Last Name:
Badge Name:
Gender:
Email:
Club Name:
Mobile Phone:
Secondary Phone:
Address 1:
Address 2:
City:
Zip/Postal Code:
Country:
State/Province:
Golf Association:
GHIN # (Your golf association number):
What is your current World Handicap Index (this is not your club index):
Senior (over age 70) Yes or No:
# of USCGFR Tournaments attended including 2023:
Comments::
 
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