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Registration Form
 

 

 

HOLIDAY ISLAND MEN’S GOLF ASSOCIATION

 

Please pay HIMGA dues on or before March 19, 2010.

 

NAME   _____________________________________________________________________________

 

ADDRESS   ___________________________________________________________________________

 

PHONE      ______________________________    E-MAIL (optional)  ____________________________

 

80 or OVER??   YES   ________   NO   ________

 

RESERVATION FOR BREAKFAST     YES   _______   NO   ________

 

Please send this registration form and your $35.00 (new member $135.00) to:

Gerry Potter

11 El Dorado Drive

Holiday Island, AR 72631

----   OR   ----

Place in a sealed envelope and give to a pro shop person before March 19th.