Heartland Players Senior Tour

2008 - Tour Registration Form

First Eighty members will be exempted and guaranteed into all events.

First Name                Last Name           

Address              City     

State    ___ AL AR AZ CA CO FL IA ID IL IN KS LA ME MO MS MT NC ND NE NM NY NV OH OK SD SC TN TX OH                 Zip Code                  Country   

Home Number      Work Number     FAX   

Email Address        Age            Date Of Birth   

2008 - SCHEDULED TOURNAMENTS 

SELECT THE ONES YOU WISH TO ENTER  

March 4-6-08 NORTHGATE C. C. $ 525.00 Houston, TX http://ww.northgatecountryclub.com		March 10-12-08 KINGWOOD G. C. $ 525.00 Kingwood, TX http://www.kingwoodcove.com/
April 28- May 2, 08 CROSS - TIMBERS G. C.  $ 525.00 Azel, TX  http://www.crosstimbersgc.com/golf/proto/crostimbersgc/		May 5-8,08 WINTER CREEK CC $525.00 BLANCHARD, OKLA
May 19-23-08 BRENT BRUHEL G. C.  $ 525.00 Purcell, Ok		June 9-13-08 WIN STAR CASINO $ 525.00 Thackerville, OK http://www.winstargolfcourse.com
June 16-20-08 DUNCAN COUNTRY CLUB $ 525.00 Duncan, Ok http://www.duncanelksclub.org/		July 7-11-08 PONCA CITY C. C. $ 525.00 Ponca City, Ok http://www.poncacitycountryclub.net
July 14-18-08 FT SILL COUNTRY CLUB $525.00 FT SILL, OKLA		August 11-14-08 CHICKASAW POINT G C $ 525.00 KINGSTON, Ok
August -08 $ 525.00 Lawton, OK		September 8-12-08 Golf Club of Twin Creeks $ 525.00 Allen, Tx http://www.twincreekgolf.com
October 6-10-08 NORTH GATE C.C. $ 525.00 HOUSTON TX		October 13-17-08 EAGLE POINTE C C $ 525.00 BAYTOWN, TX

You must include an additional $300.00 if you wish to play in the Super Senior event as well

Credit Card   Visa      Discover    Master Card    

                 Card Number 

                                                    Expiration Date          

Name on Card       

Address on Card       

City       State       zip Code

    Total amount you are paying                 

By placing my initials in the box below, I agree to abide by all rules set forth and by laws of the Heartland Players Senior Tour and that the Heartland Senior Tour representatives have the authority to use the above referenced credit card.  I further agree to release all employees and Heartland Players Senior Tour owners, sponsors,  and board members and affiliates of HPST of any liability and to give my permission to the HPST and its assigns any use of my name, likeness, photographs and any other materials as they may choose.  A surcharge of 3 % applies to all credit card payments.  Returned check fee  is $40.00.

    My Initials       Date       

Have you previously played on any PGA tour?
(Not a requirement)

Yes             No

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