2005-2006 LADIES SERIES APPLICATION
$700 MEMBERSHIP FEE: MUST  ACCOMPANY APPLICATION
(Please print or type clearly)

PRINTABLE VERSION

Name:                                                                                                  S.S.N.:            -           -          

DOB:                                                   Age:                 Height:                          Weight:            

Address:                                                                                                                                              

City:                                                                 State:                            Zip:                                         

Home Phone:                                                    Cell Phone:                                                                  

E-mail Address:                                                                                                                                   

Birthplace:                                                                    Hometown:                                                      

College:                                                                        Major:                                                             

Hobbies:                                                                                                                                              

Achievements:                                                                                                                                                                                  

*By Submitting this application and a $700 membership fee, you have reserved a membership on the 2005-2006 NGA Hooters Ladies Series.

I,                                                              , grant the NGA Hooters Pro Golf Tour the right to use 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 APPLICATION WITH CHECK TO
NGA HOOTERS TOUR
1211 HIGHWAY 17 NORTH
NORTH MYRTLE BEACH, SC 29582