Entry Form

Entry Form - Long Beach Open Amateur Qualifying

First Name *

Last Name *

Ghin #

High School/College Team in 2021 or 2022

Address *

City *

State *

Zipcode *

Phone *

Email *

Fees

Description	Price	Quantity
Entry Fee	$115
Total

American Golf Corporation does not assume responsibility for an damage, injury, conduct, loss or theft as a result of participating in the tournament.

ALL TERMS AND CONDITIONS OF THE PLAYER AGREEMENT ARE ACCEPTED BY

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Date

Credit Card Information

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Last Name *

Credit Card Number *

Expiration Date *

Month

Year

CVV *

Entry Form

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