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Entry Application

Please complete the following application to apply for  World Stars Of Junior Golf
(* denotes a required field)
First Name * Last Name *
Date of Birth *  
(mm/dd/yyyy)
Age *
Gender * Girl Boy Address
City * State/Prov. *
Country * Zip Code *
Home Phone * Mobile No
E-mail Address * Select a T-Shirt Size*

Division *
Par 3 tournament / Long-Drive
Graduating Class *
World Stars Caddy Bib * Yes No     Price : $20.00
Golf Bag Golf Bag Golf Bag
World Stars of Junior Golf
Caddy Bibs are printed with
your name on the back.
World Stars Golf Bag with Your Country Flag * Yes No    Price(including 9% tax) : $184.35
Golf Bag Golf Bag

Supplies are limited, order
with your application to
reserve yours today.
Total  $0.00    
Exempt to qualify

(If you select Other then please describe your exemption)

You are exempt from having to qualify for this tournament if you are one of the above

Describe Exemption
CC Holder Name
 *
CC Type
 *
VISA  Master Card  Amex
CC No
 *
Expiration Date
 *
(Jan/2009)
CC security code
(CVC or CVV)
 *
CC Issue Number
Security Code *