2014 Asia-Pacific Senior Amateur Championship ENTRY FORM Please enter me in the 2014 Asia-Pacific Senior Amateur Championship. I am an amateur player in accordance with the Rules of Amateur Status as approved by R&A Rules Limited, and am eligible under the Conditions of the Championship. HANDICAP LIMIT 55-59 YEARS: 14.4 60-64 YEARS: 16.4 65-69 YEARS: 18.4 70 YEARS & OVER: ENTRY FEE (HK$2100.00) INCLUDES: (Maximum Field 50) (Maximum Field 30) (Maximum Field 25) No Handicap Limit (Maximum Field 15) Championship Entry (plus Practice Round) Transport from Hotel to Course and return Championship Welcome Cocktail Party Championship Dinner Shared Motorised Golf Cart and Practice Balls for Championship Rounds and Practice Round Championship Gift Pack PAYMENT DETAILS MUST BE COMPLETED Name Surname (Family Name) Preferred Given Name Address Postcode Private Phone (+ ) Business Phone (+ ) Mobile Phone E-mail Home Club Country EXEMPTION CATEGORY Date of Birth Age Category Exact Handicap Age as at 19/11/2014 National Association / Official Home Club Stamp STAMP REQUIRED Signature of Manager of Home Club / National Association SIGNATURE REQUIRED Date: I confirm that the information supplied is correct, that I am eligible to enter under the Conditions of the Championship, and that I submit myself to be bound by these Conditions. SHIRT SIZE S Signature of Competitor M L XL XXL Please either Circle or underline * 2014 Asia-Pacific Senior Amateur Championship METHOD OF PAYMENT ENTRY FEE: HK $2100 Please tick selected method and complete details CREDIT CARD Mastercard / Visa (please circle) Expiry Date Card Number / Cardholder’s Name Cardholder’s Signature ON LINE PAYMENT (Tournament Code 888888) Available via the HKGA Website www.hkga.com DIRECT DEBIT / FUNDS TRANSFER Account Name: Hong Kong Golf Association Ltd Account Number: 0020221784 Swift Code: HSBCHKHHHKH Beneficiary Bank Name/Address: The Hong Kong and Shanghai Banking Corporation, No. 1 Queen’s Road, Central, Hong Kong. Reference: AP Senior Amateur BANK DRAFT (ATTACHED) Please make draft payable to: HONG KONG GOLF ASSOCIATION LTD in Hong Kong Dollars Please note if you elect to pay by Bank Draft or Funds Transfer, please fax or email the bank-in slip to: Hong Kong Golf Association Ltd Suite 2003, Olympic House 1 Stadium Path So Kon Po, Causeway Bay HONG KONG Fax: + 852 2845 1553 E-mail: [email protected] Entries close 5.00 pm on Monday 27 October, 2014 Please send this page and the previous page to: Hong Kong Golf Association, Suite 2003,Olympic House, 1 Stadium Path, So Kon Po, Causeway Bay, HONG KONG Telephone +852 2504 8659; Facsimile +852 2845 1553 Email [email protected] Acknowledgement of Receipt A list of all entries received by APGC c/- the Hong Kong Golf Association will be posted at www.hkga.com Please note that inclusion on this list is not an indication of inclusion in the Championship field. A player’s entry form has not officially been received until his name appears on this list.
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