Louisiana Scratch Tour
P.O. Box 256
Covington, LA 70434-0256
Email: lascratchtour@aol.com
2010 Membership Application
Annual Membership Dues: $125.00
First Name: Last Name:
Address:
City: State: Zip:
Home Phone: Work Phone: Other Phone:
Please include area code on all phone numbers
EMAIL ADDRESS IMPORTANT
Email Address:
Most correspondence will be through email (i.e. Tee Time, Parings, Special Events etc.)
Age: Date of Birth: HDCP:
Course Affiliation:
Emergency Contact
Name: Phone:
MAIL DUES AND APPLICATION TO:
Louisiana Scratch Tour P.O. Box 256 Covington, LA 70434-0256