2015 Midlands Chevy Dealers City Tournament The Country Club of Lexington July 16, 17, & 18 Entry Blank For Exempt Players • Entries for exempt players close on July 1, or when the field becomes full – whichever comes first • Please write legibly and include all information requested (including zip code) • If you have any questions please call Allen Knight @ 319-0062 or Bobby Foster @ 609-0542. Name__________________________________ Your Age on July 16, 2015____________ If you will be 55 or older at tournament time, please check which division you wish to compete. ____Regular Amateur ____Senior Amateur ____Super-Senior Amateur(65 or older) Street Address__________________________________________________________________ City:_________________________________ State:________ Zip:_______________ Cell Phone#_____________ Work Phone#_______________ Home Phone#______________ Home Course_____________________________ Handicap Index_______________________ E-Mail Address__________________________________________________________________ Please list your exempt category below: _____________________________________________________________________________________ PLEASE ENCLOSE CHEK FOR: • $140 – which includes carts, range balls for all three days, plus prizes, lunches, etc. Please make checks payable to City Tournament and return to: City Tournament c/o Allen Knight 27 Wild Olive Court Columbia, SC 29229