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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:
:
I consent to the collection, storage, and use of my information by Rotary Club of Mississauga as described in this
Privacy Policy
. I understand that I may receive emails regarding this event and other relevant information, and can opt out at any time.
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:
:
I consent to the collection, storage, and use of my information by Rotary Club of Mississauga as described in this
Privacy Policy
. I understand that I may receive emails regarding this event and other relevant information, and can opt out at any time.
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