Lake Placid Adirondack Open
Entry Fee before June 1, 2002: $110.00 (US Dollars)
Entry Fee after June 1, 2002: $125.00 (US Dollars)
First Name:
Last Name:
Street Address
P. O. Box:
City:
State/Province:
Zip/Postal Code:
Country:
United States
Canada
U.S.G.A. HDCP:
Home Course:
Course Phone #:
E-mail Address:
Credit Card Type:
Visa
Mastercard
Name Credit Card:
Credit Card #:
Expiration Date mm/yyyy:
web site:
A d v e r t i s e r s W o r k s h o p