2014 Asia-Pacific Senior
Amateur Championship
ENTRY FORM
Please enter me in the 2014 Asia-Pacific Senior Amateur Championship. I am an amateur player in accordance
with the Rules of Amateur Status as approved by R&A Rules Limited, and am eligible under the Conditions of the
Championship.
HANDICAP LIMIT
55-59 YEARS: 14.4
60-64 YEARS: 16.4
65-69 YEARS: 18.4
70 YEARS & OVER:
ENTRY FEE (HK$2100.00) INCLUDES:





(Maximum Field 50)
(Maximum Field 30)
(Maximum Field 25)
No Handicap Limit
(Maximum Field 15)
Championship Entry (plus Practice Round)
Transport from Hotel to Course and return
Championship Welcome Cocktail Party
Championship Dinner
Shared Motorised Golf Cart and Practice Balls for
Championship Rounds and Practice Round
 Championship Gift Pack
PAYMENT DETAILS MUST BE COMPLETED
Name
Surname (Family Name)
Preferred Given Name
Address
Postcode
Private Phone
(+
)
Business Phone
(+
)
Mobile Phone
E-mail
Home Club
Country
EXEMPTION CATEGORY
Date of Birth
Age Category
Exact Handicap
Age as at 19/11/2014
National Association /
Official Home Club Stamp
STAMP REQUIRED
Signature of Manager of Home
Club / National Association
SIGNATURE REQUIRED
Date:
I confirm that the information supplied is correct, that I am eligible to enter under the Conditions of the Championship, and
that I submit myself to be bound by these Conditions.
SHIRT SIZE
S
Signature of Competitor
M
L
XL
XXL
Please either Circle or underline
*
2014 Asia-Pacific Senior
Amateur Championship
METHOD OF PAYMENT
ENTRY FEE: HK $2100
Please tick selected method and complete details

CREDIT CARD Mastercard / Visa (please circle)
Expiry Date
Card Number
/
Cardholder’s
Name

Cardholder’s Signature
ON LINE PAYMENT (Tournament Code 888888)
Available via the HKGA Website www.hkga.com

DIRECT DEBIT / FUNDS TRANSFER
Account Name: Hong Kong Golf Association Ltd
Account Number: 0020221784
Swift Code: HSBCHKHHHKH
Beneficiary Bank Name/Address: The Hong Kong and Shanghai Banking Corporation, No. 1 Queen’s Road,
Central, Hong Kong.
Reference: AP Senior Amateur

BANK DRAFT (ATTACHED)
Please make draft payable to: HONG KONG GOLF ASSOCIATION LTD in Hong Kong Dollars
Please note if you elect to pay by Bank Draft or Funds Transfer, please fax or email the bank-in slip to:
Hong Kong Golf Association Ltd
Suite 2003, Olympic House
1 Stadium Path
So Kon Po, Causeway Bay
HONG KONG
Fax: + 852 2845 1553
E-mail: [email protected]
Entries close 5.00 pm on Monday 27 October, 2014
Please send this page and the previous page to:
Hong Kong Golf Association, Suite 2003,Olympic House, 1 Stadium Path, So Kon Po, Causeway Bay,
HONG KONG
Telephone +852 2504 8659; Facsimile +852 2845 1553
Email [email protected]
Acknowledgement of Receipt
A list of all entries received by APGC c/- the Hong Kong Golf Association will be posted at www.hkga.com
Please note that inclusion on this list is not an indication of inclusion in the Championship field.
A player’s entry form has not officially been received until his name appears on this list.