2005 Membership Application

* $2000 MUST accompany application for NGA Hooters Tour Membership and Ranking School
3% Administrative Fee for all Telephone Payments

Name:                                                                                                                  

SS/TIN#:                                                              E-Mail:                                    

Address:                                                                                                              

City:                                                            State:                              Zip:            

Home Phone:                                                         Cell Phone:                              

Birthplace:                                                             Hometown:                              

College:                                                                 Major:                                     

Marital Status:                                                        Wife’s Name:                           

# of Children:                  Name (s) & Age (s):                                                       

Height:                  Weight:                  Age:                      DOB:                             

Hobbies:                                                                                                              

Year Turned Pro:                                                  

Professional and Amateur Achievements (PGA/Nationwide events entered, significant finishes, honors, money earnings, etc.):                                                  

                                                                                                                                                                                                                                                         

Local/Hometown Media (w/contacts you know)

Print:                                                                                                                    

                                                                                                                              Radio/T.V.:                                                                                                                                                                                                                                      

Lowest Round as a Professional (where and when):                                               

Club Membership(s):                                                                                                                                                                                                                        

RANKING SCHOOL CHOICES: (IF APPLICABLE)        1st       2nd      3rd       4th              

Kingsland, GA              Nov. 29 - Dec. 3, 2004

Houston, TX                  December 6 - 10, 2004

Eustis, FL                      December 13 - 17, 2004

Eustis, FL                      January 3 - 7, 2005

 

I,                                                                 , grant the NGA Hooters Professional Golf Tour the right to any personal or historical information herein for media and public relations use. I also agree to adhere to Tour Policy and Procedure, and acknowledge that failure to do so may forfeit my Tour Membership.

 

                                                                                                                                                 (Signature)                                                   (Date)   

Mail Checks To: 1211 Hwy 17 North
North Myrtle Beach, SC 29582


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