Text Box: MDGA/MDGLA 2009 Tournament Entry Form
Whispering Springs Golf Club Rolling Meadows Course
MDGA MDGA (60+) MDGA (60+) MDLGA MDLGA
54 Holes 54 Holes 27 Holes 54 Holes 27 Holes
Registration Fee $15.00 $15.00 $15.00    
Membership Fee $10.00 $10.00 $10.00 $20.00 $20.00
Prize Fee $50.00 $50.00 $40.00 $45.00 $40.00
Green/Cart/LunchFee $138.00 $138.00 $96.00 $120.00 $72.00
Banquet Fee $25.00 $25.00 $25.00 $25.00 $25.00
Total $238.00 $238.00 $186.00 $210.00 $157.00
Golf String Fee(Optional) $5.00 $5.00 $5.00
Sub Total $243.00 $243.00 $191.00
Non-Golfer Banquet $25.00
Text Box: Walk in registration will be allowed but a late fee of $35.00, cash will assesssed  After July 15, 2009
Text Box: Personal Check or Money Order accepted before the Deadline July 15, 2009
Complete and mail the form below with your payment to:
Text Box:        MDGA: Bob Dramin
       22 Wadsworth Drive
       Jacksonville, Il 63650
       Sorenson VP/TTY/FAX:
       217.243.7232
       Email: bdramin@aol.com
Text Box:        MDLGA: Trish Holan 
       5162 Hollow Wood Ct #B
       St Louis, Mo 65128
       TTY 314.849.6808
       Fax: 314.842.4108
       Email: birdieday2334@aol.com
Put a check mark or X to your choice:
MDGA 54 Holes_______        MDGA(60+) 54 Holes______    MDGA (60+) Holes______
MDGLA 54 Holes______        MDLGA 27 Holes______
Name;____________________________________________ Registration Fee:__________
Address:__________________________________________ Membership Fee:__________
City/State/Zip______________________________________ Prize Fee:________________
Email Address:_____________________________________ Green/Cart/Lunch:_________
18 Holes Average score:______________________________ Banquet Fee:_____________
Birthedate:_________________________________________     Golf String Fee:___________
Emergency Contact__________________________________ Total Fee:________________