Application

 

2011-2012 BRIDGESTONE WINTER SERIES APPLICATION
$1250 Membership fee MUST accompany application
(Please print or type clearly)
 WINTER SERIES MEMBERSHIP NON-REFUNDABLE AFTER OCTOBER 31, 2011
MAKE CHECKS PAYABLE TO NGA HOOTERS TOUR
PRINTABLE VERSION OF APPLICATION
Name:                                                                                                                                     S.S.N.:  -               -              
DOB:                                                                      Age:                       Height:                                   Weight:                 
Address:                                                                                                                                                                                               
City:                                                                                        State:                                      Zip:                                        
Home Phone:                                                                        Cell Phone:                                                                           
E-mail Address:                                                                                    Year Turned Pro:                                 
Birthplace:                                                                                             Hometown:                                                           
College:                                                                                  Major:                                                                                   
Hobbies:                                                                                                                                                                               
Achievements:                                                                                                                                                                    
                                                                                                                                                                                               
*By submitting this application and a $1250 membership fee, you have reserved a membership on the 2011-12 Bridgestone Winter Series
I,                                                              , grant the NGA Hooters Pro Golf Tour the right to any personal or historical information herein for media and public relations use now and in the future. I also agree to adhere to Tour Policy and Procedure, and acknowledge that failure to do so may forfeit my Tour membership.
                                                                                                                                                                                                                               
                                (Signature)                                                                                                            (Date)
*The NGA Hooters Professional Golf Tour reserves the right to reject any application.