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Entry deadline is Friday, July 15, 2022.
If you prefer paper, click
here
to download a printable form.
2022 BMIWA Registration Form
Contact Details
Name
*
First
Last
Email
*
Enter Email
Confirm Email
Phone
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Golf Details
WSGA#
*
USGA Index
*
Date
*
MM slash DD slash YYYY
Championship Flight
*
Yes, I wish to play in the Championship Flight.
No, I do not wish to play in the Championship Flight.
Cart
*
If you would like a cart, please select which day(s). Payment can be made the day of play in the pro shop ($18).
Monday, July 25
Tuesday, July 26
No cart needed
Payment Details
Registration Type
*
Participant
Student (age 16-18)
Total
$0.00
CAPTCHA
Credit Card
Cardholder Name
Card Details
Comments
This field is for validation purposes and should be left unchanged.
Δ
Personal
Personal Insurance Policies
Automobile Insurance
Concierge Replacement Service
Homeowners Insurance
Homeowners Hail Deductible
Renters Insurance
Personal Umbrella Liability
Commercial
Commercial Overview
Commercial Package Policies
Umbrella Insurance
Restaurant Insurance
Sports Bar & Tavern Insurance
Rental Property Insurance
Equipment Breakdown Coverage
Cyber Liability
Employment Practices Liability
Find an Agent
Resources
About Us
History
Our Results
Community
Contact Us
Contact Info
FAQ
Careers
800.837.7833
Report a Claim
Pay My Bill
Manage My Policy
Agent Login