CLUB NOMINATION FORM

14 April 2024

To be advised

$175.00

Entries received after the 20th December may NOT be accepted.

Participating clubs agree to the 2024 Conditions of Entry.

Note: Conditions 4f + Rules 4, 9

COMPULSORY unless previously registered

Divisional draw (times, venues) will be determined by the Divisional Convenor prior to 1st April 2024 .

All participating clubs MUST be prepared to host a final (if required) on at least one of the following dates.

Tee times within 08:00-11:00

Circling dates TO BE ANNOUNCED…

Entry fee: $175 per team

Direct Credit: State Senior Pennant

BSB: 082 057, Account: 76-869-3545

*** Entry Fee Due on Application - Please email copy of Deposit receipt separately ***

contact@stateseniorpennant.com.au

GOLF CLUB NAME

Team Contact & Captain Name

First Name

Last Name

Email

Phone

(###)

###

####

PLAYER REGISTRATION

Please add up to 12 Players with the following information: Name | Date of Birth | Email | Golflink number | Handicap

Click here to see a list of already registered clubs