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Registration for Chip Strong Memorial Golf Tournament

September 13, 2019

Mozingo Lake Golf Course
Tee Time: 12:30 p.m.

 

Contact Information
Fill these out even if you are not signing up with a team.

First Name:

Last Name:

Address:

City:

State:

ZIP Code:

Daytime Phone:

Email Address:

Sponsorships

Sponsorship Level:
Classic ($2000 - includes entry fee for 2 teams)
Double Eagle ($1250 - includes entry fee for 1 team)
Eagle ($500)
Birdie ($250)
Golf Cart ($100)
No Sponsorship ($0)

Name on Sponsorship:

I would like to donate:
$

Additional Notes:

Event Information

Number of Golfers:
 ($125 per golfer)      Entry fee WAIVED up to 8 playersEntry fee WAIVED up to 4 players

Total Due:
$

List the members of your group:
If you do not have a group of four, we will put you in a group.

TEAM #1

Player 1 Name:

Shirt Size:
 


Player 2 Name:

Paying Separately

Shirt Size:
 


Player 3 Name:

Paying Separately

Shirt Size:
 


Player 4 Name:

Paying Separately

Shirt Size:
 

TEAM #2

Player 1 Name:

Paying Separately

Shirt Size:
 


Player 2 Name:

Paying Separately

Shirt Size:
 


Player 3 Name:

Paying Separately

Shirt Size:
 


Player 4 Name:

Paying Separately

Shirt Size:
 

Cardholder Information

Cardholder information is same as contact information above?
Yes    No

First Name:

Last Name:

Address:

City:

State:

ZIP Code:

Phone Number:

Email Address: