Nomads Game Entry Form De Zalze 22nd March 2018

 

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WESTERN PROVINCE NOMADS ENTRY FORM

De Zalze

Thursday 22nd March 2018

Name *
Surname *

Will you be able to play in this meeting *
Yes
No
This field is compulsory. Please select 'No' if you are attending. If you selected 'No/ Can't Play' above - DO YOU REQUIRE LEAVE OF ABSENCE? *
Yes
No
(Authorised leave of absence counts towards game playing commitment but NOT NATIONALS QUALIFICATION)
Reason for Leave of Absence
Payment Option *
EFT (reference to be your name & club we are playing at)
Cheque / Cash
Prepaid (upfront)
Not Applicable

Will you bring a visitor
No
Yes (Please enter details below)

Name
Club
H/C
Proof of Payment (upload file here - required if playing)*

Please Note:
EFT’s – please assist us and EFT your green fees at the same time that you submit your entry form and reference your payment properly with your name and club playing at.

Bank Details:
EFT (Electronic Deposits) To:
Mercantile Bank
Branch No: 450109
Account No: 1050638026
*Cheques Made Payable To: Nomads Golf Club – Western Province

Terms :
Payments will only be accepted once reflected in the account.
If you have not paid and cancel after the draw is emailed to you are liable for the entry fee.

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