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JACKSONVILLE AREA GOLF ASSOCIATION 2009 CITY AMATEUR CHAMPIONSHIP EXEMPT ENTRY FORM
Your name No. & Street City & State Zip Your club Hdcp Index Phone No. Email Enclosed is a $250 check or money order payable to JAGA Optional contribution to JAGA Scholarship Fund $
Verify your entries above then print this form. Send it and your payment to:
Bob Streightiff 1312 Queens Island Court JACKSONVILLE, FL 32225 221-4111
Exempt entry forms must be received by June 30, 2009 at 5 pm