Member Name--____________________________

Member Number---_______________________________________

Guest Name---______________________________________________

Guest Club---_____________________________________________

Guest Club Phone Number_________________________________

Handicap Index---_________________________

I need_______extra tickets @ $30.00 each

Please remember that we are limited to the First 40 Teams. So return your entry form ASAP: Please drop them by the Pro Shop or mail them to us at:

Sussex Pines Pro Shop
22480 Sussex Pines Road
Georgetown, De. 19947

We need a hard copy of this form. Please DO NOT call the Pro Shop to sign up.