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Lake Charles City Championship

Name *

First

Last

Email *

Phone *

Age as of 9/9/2022 *

Which Division Will You Be In? (55+ can opt into Open division)

GHIN Handicap Index (if you have a plus handicap index, please put a dash - before your index) *

Where is Handicap Kept? *

______________________________________________

Registration Fee

Price: $ 150.00

Name on Card

Card Number

Expiration Date

CVV number (back of card)

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(337) 491-1400
3470 Morganfield Drive, Lake Charles, LA 70607

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