2014 Lite Scratch Tour Florida Printable Application

Name:

Cell Phone:

Cell Phone Carrier (ATT, Verizon, etc):

Street:

City, State, Zip:

Club Affilation:

GHIN #:

Handicap Index:

Mail this completed form and a check payable to Gulf Coast Scratch Tour
for membership dues ($40) to:

Lite Scratch Tour Florida
704 Kristanna Drive
Panama City, FL 32405