0. Name:______________________________________________ Handicap Index: ___________
0. Name:______________________________________________ Handicap Index: ___________
0. Name:______________________________________________ Handicap Index: ___________
0. Name:______________________________________________ Handicap Index: ___________
   Contact Number: __________________________________

 Home Course: _____________________________________________________

Tee time preferences (most years we've run starting times from 11:30-1:30)___________________

Cart included when you prepay for your team.

Please enclose team entry fee ($45 per player for CGC members and $65 per player for non-members) and mail back to:

Coudersport Golf Club                                            ATTN:  Potter County Open                                          P.O. Box 446                                                    Coudersport, PA 16915

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