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BUSHWOOD GOLF CLUB
MENTOR APPLICATION


Name:__________________________________

Spouse Name (if needed):___________________

Address:________________________________

City:___________________ Zip:_____________

Home Ph.:_______________________________

Cell Ph.:_________________________________

E-mail:__________________________________

Additional Information:______________________

Golf History:______________________________

References:______________________________

________________________________________

Preferred Day(s) Monday___ Tuesday____

Wednesday___ Thursday ____

Saturdays in September________


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