CHATSWORTH GOLF CLUB MIXED OPEN
SUNDAY 12th JUNE 2022

ENTRY FORM
FORMAT
4BBB
Max WHS Handicap Index 30
Entry Fee £30 per team of two
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 (dated 12th June) made payable to Chatsworth Golf Club to:

Mrs C Marsden
35 Megdale, Matlock
Derbyshire DE4 3JW

Mob: 07794372596
Email: cmarsden58@gmail.com

PLAYER - NAME - CLUB - 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 10.57 or pm 13.15 to 15.00

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

Name……………………………………………………No………………………… Email .............................,

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