GOLF
P
LAYER
REGISTRATION FORM
Registration
P
lease list the name or names of all players on the team. Please indicate (GOLF AND LUNCH) or (LUNCH) for Each Person
1. Name
Golf & Lunch
Lunch Only
2. Name
Golf & Lunch
Lunch Only
3. Name
Golf & Lunch
Lunch Only
4. Name
Golf & Lunch
Lunch Only
A
ddress
C
ity
S
tate
Z
ip
B
usiness Or Organization
C
OST
T
he cost for Golf & Lunch is
$100
per person.
The cost for Lunch Only is
$25
per person
Total Amount
To Be
Submitted
To pay by credit card please follow the
PAYMENT LINK AFTER YOU SUBMIT YOUR INFORMATION
using the secure PAY PAL site. To
pay by check or other options please make payment to: Respect Academy c/o 2008 BGO. 4750 N. Michigan Rd. Indianapolis, IN
46228
. A
confirmation will be sent to the email address provided above after payment has been received.
B A C K T O H O M E P A G E
Please submit all registrations by Friday, June 6, 2008. If you have any questions please call 317.254.5854
or fax 317.466.7919 or email to:
lsshaw@aol.com
B A C K T O H O M E P A G E