Coverage Gaurantee Association Image  
   
   
  M.a.d.a. application for hole-in-on-coverage  
 
* = Required to obtain a quote/contract.

Click here for the application in PDF format.

* First Name: spacer
* Last Name:  
* Name of Dealership:  
Address:  
City:  
State:  
  Zip:  
* Phone:  
Fax:  
* E-Mail Address:  

Tournament Information:    
Tournament Date:  
Number of days in tournament:   If tournament is 1 day type "1"
Tournament Title:  

Golf Course Information:    
Golf Course:  
City:  
State:  
Zip:  
Phone:  
Is this a 9 hole course?   Yes
No
Is there more that 1 course at this location?   Yes
No
     

Prize, Hole and Yardage Information    
* Prize Value:  

Description of the prize (cash, car, boat, etc.):

 

* Number of players:

 

amateurs

Will there be any professionals playing?   Yes
No

Please Select Below:
If professionals are playing please check what type of professionals, and how many will be playing

Club Professionals

 
Number of Club Professionals:  
     
Touring Professionals  
Number of Touring Professionals  
Please Select Below:
Minimum yardage requirement 135 for men and women, women must shoot within 15 yards of the men on the target hole.

* Target Hole #:

 

* Yardage:

  For Men
For Women

* Course:

 

Three free additional hole-in-one prizes for remaining par 3's

Please Select Below:
Minimum yardage requirement 135 for men, 120 for women.

Minimum yardage requirement 135 for men, 120 for women.
#1 Hole: Yardage: Men/ Women, Course:
#2 Hole: Yardage: Men/ Women, Course:
#3 Hole: Yardage: Men/ Women, Course:
What are the additional prizes?

(if you do not want the additional prizes please check the box)

If you would like to view the current Terms and Conditions please click here.

* I would like the necessary paperwork sent to me via:

 

Call CGA with your promotion details:
800-242-7789/Fax: 574-271-1747 or email: info@cgainc.com

Please report an errors with this page to the webmaster