You are on page 1of 1

Sifford

4-Person Scramble Friday, August 10, 2012 Oak Hills Golf Center 932 Ellis Boulevard Jefferson City, MO 65101

Registration Form

Entry Fee: $100 per person/$400 per team


*Includes green fees, cart fees, beverages, tee prizes, awards, dinner, raffle ticket and T-shirt.

Scramble

Agenda:

11:00 a.m. Registration 12:00 noon Shotgun Start 5:30 p.m. Dinner & Cash Bar *Prizes will be awarded during dinner.

Golfer Name
Primary Contact:

Phone

Email

T-Shirt Size

Puxico Sponsor: $250 Hole Sponsor: $100


Miscellaneous donations also accepted.

Sponsor Name: Address: Email:

Phone:

Amount: $

Proceeds benefit Chris Sifford Memorial Scholarship Fund, providing scholarships to students attending University of Missouri and Missouri State University. Chris Sifford Memorial Scholarship Fund is a 5013 not-for-profit organization. Tax ID#43-1938686. Please send donations and entries, payable to Chris Sifford Memorial Scholarship Fund to: Kelli Stiles, 115 Forest Hill Avenue Jefferson City, MO 65109 Cell: (573) 353-1269 Work: (573) 634-8115 kstiles@spencerfane.com www.SiffordMemorial.com Facebook (Chris Sifford Memorial Golf Tournament)