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75th Greater San Antonio Women’s Amateur Championship

First Name:	Last Name:
Street Address:
City:		State:		Zip:
Date of Birth:	/ /
Home Phone:	( ) -	Work Phone: ( ) -
Handicap Index:	For pairing purposes
Email:
Club Affiliation:
Entry:	Women's Championship Senior Women's Championship
Transportation:	Walk Ride

Eligible for Super Senior Medalist Award (65 yrs +), birthday June 6, 1943 or before?
	Yes No


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Entry Fee: $125 (includes green fees)


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