Social Security Number or tax ID number for Professionals*:_______________________
Entry fee: $425**pro/$325**amateur - payable by check or $440 pro/$335 amateur if paid by Paypal. Completed entries with payment close and must be received no later than March 1, 2012 at 5:00 pm MST. Practice rounds ($25 fee) can be played anytime up to the event, call the pro shop 407-277-5520 for a tee time. Entry also includes range and golf cart for 3 days. Format is 54 holes medal play and groups will be re-paired after the second round. Payout to 1/3 of final field of 70 players or less. There will be a cut if total field is over 100 players. Anyone shooting 88 or higher in the first two days will be cut. Amateurs must have a handicap of 6 or less and verified by the USGA or another Golf Association. Tournament information will be posted at the Cactus Tour website: www.thecactustour.com
Make checks payable to: The Cactus Tour/Florida Open
Mail to: Mike Brown - Cactus Tour Fax 888-264-5350
2395 N. 2nd Ave. Cell 520-312-8642
Tucson, AZ. 85705
I certify that I will abide by all policies and procedures set forth by The Cactus Tour, and that I will not hold The Cactus Tour or other Tour associates liable for any personal injury while competing during this event. I also agree to allow the Cactus Tour to use my name, picture, and any information supplied by me for media purposes. If playing as an amateur: in order to avoid risk of losing my amateur status, I elect to compete as an amateur and irrevocably waive the right to receive cash as a prize.
Player Signature _____________________________ Date____________________
*Required in order to win prize money
**Represents cash discount
For Additional Information
Mike Regner 407-277-5520 Lori Atsedes 407-497-8471