IGTA Tournament Reservation Form
Please print and use the following form to register for any Tournament or Membership.
Name:
Tournament Date
Address:
City:
Tournament Date
State: Zip:
Social Security: Tournament Date
Date of Birth:
Eve Phone: Tournament Date
Day Phone:
Email: @
Fax:
Home Course: City Handicap Index
Six certified Score Cards or Handicap History(Check one) Index required if player is registered.
(Handicap info must be provided 1 week prior to first event. False handicaps are fraud and may be prosecuted)
Golf Reference #1 Phone:
Golf Reference #2 Phone:
Payment enclosed for:
$ $175 IGTA Tour Membership Fee. (annual) (3) Monthly Payments on the 15th
$ $100 Reservation Fee for each Tournament entered. (only refundable 30 days before event)
$ $95 NIT Membership Fee to play in an IGTA NIT Qualifier Only. (annual)
$ Total.
Enclosed is my: Check Money Order Credit Card (2.5% fee 3% Amex)
Credit Card # Exp. Date Due to Course & Purse commitments Entries Non-cancelable after Sunday prior to event. Signature Date
Make all funds payable to: IGTA
Fax this form to: IGTA Fax # 847 382-4384
or mail to: P.O. Box 483 Lake Zurich, Illinois 60047
Email to: igtatour@hotmail.com
For more information call our tour office at 847-842-0877.