I wish to enter the 2009 Bill Black Memorial Classic

           Name                Club        Index

Check included for $380 Team entry fee or
check included for $95 Individual entry  fee.
Amount included $
 
Optional contribution to JAGA Scholarship Fund $

Verify your entries above then print this form.  Send it  and your check to:

Lee Crowe, Tournament Director
P.O. Box 37484
Jacksonville, FL 32236