EGU Northern Counties Group

Name (Block Capitals)......................................................................................
Address.................................................................................................................
.............................................................................................................................. 
Post Code.......................................................Tel:..............................................
Date of Birth.............................................       Home Club........................
Email....................................................................................
Handicap........................(Limit 12)   The CONGU Unified Handicapping System 2008 - 2011 (Appendix B 2.4) requires entrants to notify the organising committee if they are a member of the hosting club even though that club is not their Home Club.   Please put an x if this applies. [   ]

I am eligible to compete under the conditions of the Championship.  

I enclose a cheque for £30 in payment of the Entry Fee.  
( Cheques made payable to E.G.U Northern Counties)

I certify that the handicap of Mr...........................................is....................(Limit 12) under the conditions of the CONGU Unified Handicapping Syustem (Effective 1st January 2008) and to the best of my knowledge he is of Amateur Status as defined by the Royal and Ancient Golf Club of St. Andrews.

Signed.................................................................................
Secretary............................................................................. Golf Club