2010 Western Printing Pro-Am at
Moccasin Creek
July 23-25
PROFESSIONAL ENTRY FORM
Open to first 56 entries – Dakota Tour Exempt Pros & Past Western
Printing Pro-Am Champions guaranteed spot if entry POSTMARKED BY JUNE 1, 2009
Name: _______________________________________
Address: _____________________________________
City:
___________________State: ______ Zip: ______
Phone: ____________Mobile
Phone:____________
E-Mail Address: _____________________
Social Security #: (Required before your entry will be accepted)
__________________________
Entry Fee: $700 (practice rounds, lunch on tourney days, & range
balls included)
**ALL TOUR EXEMPT PROS &
PAST CHAMPIONS WILL BE ACCEPTED IF ENTRY IS POSTMARKED BY JUNE 1**
Rental Cart Prepay $17 per day
(Circle Days: Thu – Fri – Sat - Sun)
Extra Dinner Tickets $17 (Friday night-Pros dinner included in entry)
TOTAL ENCLOSED______________
(Payment must accompany entry to be confirmed into
event)
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ENTRY for PRO-SPONSOR Event on July 22 –
EXEMPT PROS & PAST CHAMPIONS ONLY!
Non-exempt pros will be put on a waiting list and notified as space
becomes available.
I am an exempt pro/past
champion and wish to play ___ no entry fee
non-exempt pro and wish to be on the waiting list___
no entry fee
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Payment Type: ___ Cash___Check___
Money Order___ Credit Card___
Credit Card Info:
Name on Card:_____________________________
Type of Card: Visa___
MasterCard___
Card #: ___________________Expiration Date: _____
Send, Fax, or E-mail Entry Form
with Payment To:
Western Printing Pro-Am at
Moccasin Creek
39084 130th Street
Aberdeen, SD 57401
Phone: 605.226.0989 Fax:
605.226.1523
Email: golfshop@moccasincreekcc.com
Website:
www.moccasincreekcc.com
Dakotas Tour Website: www.dakotastour.com
NOTE: Dakotas Tour
Professional Refund Policy
Cancellations after July 1 will
be charged a $50 Administration Fee.
All refunds for players
canceling are made the week after the event is concluded.
In case of a total rainout, all
players will receive an 80% refund.