Coverage Gaurantee Association Image  
   
   
  million dollar shot application  
 
* = Required to obtain a quote/contract.

Click here for an application in PDF Format.

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

Tournament Chairman:  
Phone:  
Fax:  

How did you hear about CGA?  
* Tournament Date(s):  
Tournament Title
(or benefit of):
 
* Golf Course Name:  
City:  
State:  
Zip:  
* Phone:  
Fax:  

* Prize Value(s):  
Annuity  
* Number of Attempts:  

Amateurs
Pros
Club
Touring

Target Holes #:  
*Yardage(s):  
*Yardage for Men and Women must be 165+ yards on the Target Hole
* Loss History on Target Hole:  

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

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