Entry Form

NAME:

ADDRESS:

CITY: COUNTRY:

TEL: FAX:

EMAIL:

OVERSEAS ENTRANTS
ARRIVAL Nov. DEPARTURE: Nov

Time of Arrival: Departure:

ENTRY FEES: (Please indicate which is applicable

US$60 J$3000

Please debit my Credit Card with the required deposit

Credit Card # Expiry Date:

Card Type: Submitting Date:
Please note that Credit Card information must accompany Submitted Entry Form.

DEADLINE FOR ENTRIES
OCTOBER 15, 2002
Participants are encouraged to submit their entries well before the deadline as space is limited to the first 100 entries received.

I will not be able to play in the tournament but wish to donate the amount shown abov to the JGA/UWI Golf Development Foundation.
Tick if applicable