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kUrTp
Mar 18 2009, 11:36 AM
Indiana Open 2009 May 9th, 2009
Indiana, Pa IUP College Lodge Recreation Park

PDGA B-Tier and Can-Am Series event

Please print this form and send to address below or use Pay Pal to pre-register.
Field limited to 90 players.

Name: ____________________________________________ PDGA #:__________
Address: ___________________________ .
City:__________________ State:____________________ Zip: _______________ .
Phone: E-Mail: __________________________ .

Please Circle your Division and other Offerings Wanted:

Pro Open Men: $61
Pro Women Open: $51
Pro Men Masters: $61
Advanced Men $46
Advanced Women $36
Advanced Masters: $46
Intermediate Men $41
Intermediate Female $31

Bag O’Lunch ($5; circle choice) $5
Turkey Italian Cheese

PDGA Member discount -$10
IUP I-Card holder discount -$ 5

Total Enclosed: $____________

At least 4 players required for a division.
$6 of each entry fee paid to PDGA, Can Am Series, and IDLA fees and not included in net purse)

Please Send to:
Kurt M Poole
PO BOX 1413
Indiana, PA 15701

E-mail: kurtpoole@yahoo.com
Phone: 724-388-0865 or 724-464-0469
Web: www.pfds.org (http://www.pfds.org)