March 6-7, 2010
USJGT
Indian Hills Golf Club
Murfreesboro, Tenn.
Cost (Boys High School, Girls High School, Boys Junior High, Boys Rising Stars: $130 (Non-members: $150)
Cost (Boys Future Stars, Girls Rising Stars): $100 (Non-members: $120)
PLAYER’S NAME__________________________________________M/F________
Division Entering (Please circle one) - Based on 2009-2010 school year
Boys HS (Grades 9-12) Boys Junior High (Grades 7-8) Girls HS (Grades 7-12)
Boys Rising Stars (Grades 5-6) Girls Rising Stars (Grades 3-6)
Boys Future Stars (Grades 3-4)
STREET ADDRESS______________________________________________________
CITY, STATE, ZIP_______________________________________________________
E-MAIL (Please print clearly)______________________________________________
PHONE________________________________________________________________
We accept Visa and Mastercard only:
Billing Information
Name as it appears on card________________________________________________
If billing address is same as above, check here____________
If different, please fill out below:
Billing Adress___________________________________________________________
City, State, Zip__________________________________________________________
Card Number: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Expiration Date______________________________________________
USJGT
4060 Walnut Grove Rd.
Memphis, TN 38117
(901) 212-0606 –Phone
(901) 821-0321 - Fax
