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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.



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:



T-Shirt Size

Puxico Sponsor: $250 Hole Sponsor: $100

Miscellaneous donations also accepted.

Sponsor Name: Address: Email:


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 Facebook (Chris Sifford Memorial Golf Tournament)