Hazelmere Men's Club
2004 U.S. Open
Golf Lottery

Your Name:  email address:     Phone #:

  Method of Payment:  (please check appropriate box)    (use the tab key to move from field to field)

 Charge my Hazelmere Account        Left money at Pro Shop      Gave money to member of Executive 
  Acct # 

      Submitted via:    online (click submit at bottom of form)      emailed:    Faxed    (605 594-1297) 
                                                            Left at Pro Shop     Phoned in 
    Click on the following hyperlink if you want to email your entry form in:  hmc@dccnet.com
                                        
              Players Name                                         $ Won by each Player (for your own record keeping)

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    Who you think will win the U.S. Open  (used only to break a tie if need be)
    
                                                    Good Luck!