THE 67th ANNUAL
SIGNAL MOUNTAIN INVITATIONAL
APRIL 30 - MAY 2, 2004
ENTRY FORM

SIGNAL MOUNTAIN GOLF & COUNTRY CLUB

ENTRY DEADLINE IS WEDNESDAY, APRIL 21, 2004 - 5:00 PM
[or until field is full (144 players)]

Name
Address
City, State
Zip Code
Phone
Club Affiliation  
USGA Index
GHIN #
Pro Verification
Preferred Foursome

Preferred Friday Tee Time

   AM      
PM  

Please complete form, print (File->Print or right mouse click->Print)  and mail to:

Signal Mountain Golf & Country Club
c/o Signal Mountain Invitational
P. O. Box 266
Signal Mountain, TN  37377

[Make check payable in amount of $180 to Signal Mountain Invitational]
[Incomplete entries or entries received without payment will be returned]

ENTRY DEADLINE IS WEDNESDAY, APRIL 21, 2004 - 5:00 PM