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*Please Type or Print Neatly! $1,500 Fee Must Accompany Application. Name ___________________________________________________________________ SS# _________ ______ _________ Fed I.D. # _______________________________ Address _________________________________________________________________ ________________________________________________________________________ Age _______ Date of Birth ___________________ Phone _______________________ College _______________________________ Major ___________ Degree __________ Birthplace _______________________________ Hometown ______________________ Martial Status ____________________________ Wife's Name _____________________ Children (#) ______________________________ Names _________________________ Height __________ Weight ___________ Hobbies ______________________________ Year Turned Professional _________ Local Hometown Media ______________________ Professional or Amateur Achievements __________________________________________ ________________________________________________________________________ Lowest Round (As Professional) _________ Site _________________________________ Ranking School First Choice _________________________________________________ Ranking School Second Choice _______________________________________________ I, _______________________________________ (print), grant the NGA Professional ________________________________________ _______________________________
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