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**TEAM Payment Required with Entry Form**

You may pay with a credit card at


Thermopolis Golf Club & mail receipt
to us with this Entry Form.
Please make checks payable to:

Friday, June 20, 2014

ENTRY FORM

Smoking Waters Golf Invitational


328 Arapahoe St., Thermopolis, WY 82443

I prefer: (please indicate one)


Shotgun #1

______

8 a.m. .........................Check In Begins 7 a.m.

Shotgun #2

______

1 p.m. .........................Check In Begins 12 p.m.

Registration

$100/person

Includes green fees, 2 mulligans to use anywhere on course except Hole-In-One & Putting Contests,
2 tickets in drawing for lots of great prizes, lunch, and cart rental based upon availability.

Total $ ______ x 4 golfers = $____________


**All Information Must Be Provided So We May Contact You Regarding Your Start Time**

Team Name:___________________________________________________________________
Golfers
1._______________________________________________________________________________
Name

Handicap Index

Phone

Email

2.______________________________________________________________________________
Name
Handicap Index
Phone
Email

3._______________________________________________________________________________
Name

Handicap Index

Phone

Email

4._______________________________________________________________________________
Name
Joey Johnson
307-272-2539

Handicap Index
TJ Owsley
307-921-0534

THANK YOU!

Phone

Email

Cindy Hart
307-921-1575

307-864-3421

HELPING HOT SPRINGS COUNTY YOUTH!