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Fourth Annual SIOpen Golf Outing Entry Form

Lakewood CC, New Orleans, LA
Thursday, April 13, 2000Shotgun Start at 13.00

Format: Four-person scramble

Appication Deadline: April 13, 2000*

Entry fee: $60/person**

Prizes: "Hugo Cup" to First Place team; closest to pin, longest drive, low gross

(Please type or print legibly)

Team Name: _________________________

Team Captain

(or Individual):________________ Team Member #3:_______________

Address:_____________________ Address:_______________________

City/St/Zip:___________________ City/St/Zip:_____________________

Phone:_______________________ Phone:________________________

E-mail:______________________ E-Mail:________________________

Handicap/Average score:______ Handicap/Average score:________

Team Member #2:______________ Team Member #4:_______________

Address:_____________________ Address:_______________________

City/St/Zip:___________________ City/St/Zip:_____________________

Phone:_______________________ Phone:________________________

E-mail:______________________ E-Mail:________________________

Handicap/Average score:______ Handicap/Average score:________

Mail application to:
Jos Cortina
Psychology Department
MSN3F5, 4400 University Dr.
George Mason University,Fairfax, VA 22030.

Include payment with fees on General Conference Pre-Registration Form.

Contact Chuck ("Nassau") Lance (V: (706) 542-3053, E: clance@arches.uga.edu) or

Jos ("Skins") Cortina (V: (703) 993-1347, E: jcortina@osf1.gmu.edu) for additional information.

**Includes greens fee, cart, and prizes.
Enter individually, or up to a full 4-person team.
Honest!

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