Office use : Date: ____ Check #: ______ Amount: _____ Book__Chelsea___TPP1___TPP2___XL__Add__EM__

2010 TOURNAMENT PARTICIPATION FEE APPLICATION

 Name:  __________________________________________    GHIN #:_________________________

 Club Member at: ____________________________________________________________________  

 E-mail Address: _____________________________________Phone: __________________________

 Summer Mailing Address:
 Street:  ___________________________________________________________________________

 City/Town: ________________________________________ State ___________ Zip _____________

 ADDRESS TO MAIL STATE DAY BOOK:  (Book will be mailed in March, 2010)
 Mailing Address:
 Street:  ___________________________________________________________________________

 City/Town: ________________________________________ State ___________ Zip _____________

 Renewal 2010 Fee:     $25 postmarked by 1/15/10.  $35 if  postmarked after 1/15/10.
 New Members Fee:  $25 no matter when you join.
 Championship Only Fee: $25 for major tournaments only.  No late fee.                                                                
                   
 Renewal:  o             New Member:    o    Championship Only:   o   

Please return the application with your check made to VSWGA to:
VSWGA, P.O.Box 134, Arlington, VT 05250