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* 1. Player Name

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* 2. Email Address

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* 3. Course Name

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* 4. State

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* 5. Your PGA Professional's name

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* 6. Verify you are a 2020 club champion at your facility (requirement for the 2021 PGA National Club Championship)

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* 7. Have you verified that your name is listed as a champion on pgaclubchamp.org?

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* 8. Division you won at your club

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* 9. Division you wish to compete in at PGA Club Championship (golfers 50+ may elect to compete in the Senior Division)

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* 10. Why do you want to compete in the PGA National Club Championship?

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