Illinoia & Missouri
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Banquet: choose one
Top Sirloin Stk: Rare _ M rare __ M well __ Well __
Cordon Bleu Chicken ___
Vegetable Pasta ___
2015 MDGA/MDLGA Tournament Entry Form
The Oaks Golf Course Door Creek Golf Course ***
MDGA MDGA (60+) MDGA (70+) MDGA (70+) MDLGA MDLGA
54 Holes 54 Holes 54 Holes 27 holes 54 Holes 27 Holes
Registration Fee: $15.00 $15.00 $15.00 $15.00 n/a n/a
Members Dues: $10.00 $10.00 $10.00 $10.00 $20.00 $20.00
Prize Fee: $50.00 $50.00 $50.00 $40.00 $45.00 $40.00
Green/Cart Fee:* 170.00 $170.00 $170.00 $120.00 $155.00 $95.00
Banquet: ** $35.00 $35.00 $35.00 $35.00 $35.00 $35.00
Total Amount $280.00 $280.00 $280.00 $220.00 $255.00 $190.00
* Includes lunches (Tuesday and Wednesday)
** Dress code will be enforced; Dress pants (men), No shorts or jeans.
*** If less than 10 ladies golfers, they will play with men at The Oaks. The green/cart fee will be The Oaks's fee.
Non-Golfer Banquet : $35.00
Entry Deadline: Saturday, July 18, 2015.
A late fee of $35.00(men) and $15.00 (Women) will be assessed to registration.
Personal Check or money order accepted before July 18, 2015. Cash only for walk-in.
Complete and mail the entry form with payment to:
MDGA: Bob Dramin, MDGA Treasurer MDLGA: Leslie Yount, MDLGA Treasurer
22 Wadsworth Drive 5443 Washburn Ave South
Jacksonville, IL 62650 Minneaplois, MN 55410
Email: bdramin@aol.com VP: 217-408-0542 Email: lyount4@gmail.com
Hotel Reservation Information: CROWNE PLAZA HOTEL 888-233-9527 (group code 'MDGA')
Booking Website: http://tiny.cc/MDGAhotelgroupkey
Deadline: Cutoff by July 3, 2015 Room rate $89 per night plus tax; Check in at 4:00 pm
If you need a small refrigerator, $20.00 at one time. Request at the hotel desk based upon availability.
State Team Scramble Tournament on Monday: See application form
Questions: Contact Mark Venz, MDGA Tournament Chairman
Email: mvgolfer74@gmail.com or VP: 608-318-4098
MDGA 54 Holes ___ MDGA (60+) 54 Holes ___ MDGA (70+) 54 holes ___ MDGA (70+) 27 Holes ___
MDLGA 54 Holes ___ MDLGA 27 Holes ___
Name: __________________________________________
Address: ________________________________________
City: ___________________________________________
State/City/Zip: ___________________________________
Non-golfer Banquet - Name: __________________________________________ (if more, list names on back)
Choose one : Top Sirloin Steak: (Rare __ M rare __ M well __ Well __ ) Cordon Bleu Chicken ___ Vegetable Pasta ___
9/18 Holes Average: ____ Birth Date: ________ TOTAL Amount _________ (Payable to MDGA or MDLGA)
Emergency Contact: ______________________________ Phone or Email: _______________________