CHATSWORTH GOLF CLUB MIXED OPEN
SUNDAY 13th JUNE 2021

ENTRY FORM
FORMAT
4BBB
Max handicap allowance 30 (men & ladies)
Entry Fee £30 per couple
Current Active Handicap certificate must be produced before start of play.

Please complete the form below and send it together with a stamped addressed envelope and a cheque made payable to Chatsworth Golf Club to:

Mrs C Marsden
35 Megdale, Matlock
Derbyshire DE4 3JW

Tel: 01629 55101
Mob: 07794372596
Email: cmarsden58@gmail.com

PLAYER - NAME - CLUB - HCP INDEX - CDH No
Player 1
Player 2
Player 3
Player 4

Email address for main contact …………………………………………………

Please indicate your preferred starting time – (Please circle) am. 09.00 to 10.40 or pm 13.00 to 15.00

In case of cancellation we need a contact Name and Telephone Number

Name……………………………………………………No…………………………………………

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