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26th SHANE DOHERTY MEMORIAL Tri-State Masters May …

18 - 49 Snr 50 Vet 55 Super Vet 65 TEAMS EVENT TEAM MEMBERS ENTRY $15 PER PLAYER ($60 PER TEAM) VISA or Mastercard (1% surcharge) CARD NUMBER: _____/_____/_____/_____ EXP. DATE:_____/_____NAME ON CARD: _____ SIGN: CCV : MON TUE WED THU FRI Limited Number available Bookings essential Shirt Size MensS / M / L / XL / XXL / XXXLS hirt Size Ladies10 / 12 / 14 / 16 / 18 Tuesday, 22 May $_____$ Golf 4 BBB Stableford Mildura Golf ResortLunch , 23 May Competition Golf Day 2 Red - Fossey's Ginporium & Distillery Gin tasting & evening meal (Slow Food Mildura) $_____ENTRY FEE$_____TOTAL ENCLOSED $_____PROGRAMMEM onday, 21 May Competition Golf Day 1 - $ $_____Gourmet BBQ & Trivia Night at Riverside Golf ClubLuncheon with Elina Garreffa under the vines - Traditional Italian Food(Coach transfers included)

18 - 49 Snr 50 Vet 55 Super Vet 65 TEAMS EVENT–TEAM MEMBERS ENTRY $15 PER PLAYER ($60 PER TEAM) 1._____ 2._____ 3._____ 4._____ VISA or Mastercard (1% surcharge)

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