REGISTRATION FORM

TEAM NAME:
_______________________________________________________
PLAYER #1: ______________________________________________ PHONE:
______________
ADRESS:
_______________________________________________________________________
CITY: ___________________________________STATE: _________________ZIP:
____________
PLAYER#2:_____________________________________________ PHONE:
_________________
ADRESS:
_______________________________________________________________________
CITY: ___________________________________STATE: _________________ZIP:
____________
PLAYER #3: ______________________________________________PHONE:
_______________
ADRESS:
_______________________________________________________________________
CITY: ___________________________________STATE: _________________ZIP:
____________
PLAYER #4: ________________________________________________ PHONE:
____________
ADRESS:
______________________________________________________________________
CITY: ___________________________________STATE: _________________ZIP:
_______
ENTRY FEE: $75.00/PLAYER ______ ENTRY FEE: $300.00/ 4 MAN
TEAM ______
Entry fee includes: 1 Cart per Team, Green Fees, Lunch and Door
Prize Registration
For More Information: 318-340-5913 or 318-680-9601