Name:
 

Address:
 

Telephone Number:
 

Fax Number:
 

Email Address:
 

Average Score (Not Handicap)
 

Please team me with:

Mulligan(s)  
     (please enter # of mulligans):    A maximum of two mulligans may be purchased for $5.00 each.

                                                                                 Mulligans must be paid for at time of registration
 

Mulligans will also be available for purchase the day of the tournament

                                                                   Check must be mailed within three (3) days of registration. 

Make checks payable to: HPRAR

1830 Eastchester Drive

High Point, NC 27265