GOLFER FORM
October 19, 2019. 8 a.m. | Saturday, October 19th! Chamberlyne Country Club Tee Off Shotgun Start at 8 am.
*Free bucket of range balls is included in your fee! Come early and get your swing locked in!
*Mulligans are available for $5. There are unlimited because we've seen your swings.
*Lunch is provided. Stay awhile after and brag about your game, or at least the one hit that keeps you golfing.
*Trophies for up to three flights.
*Snack and drink cart will be available on the course.
*Red tees will be sold for $5 each (limit 2 per person!)
*Contests include Hole-in-One, and three closest to the pin prizes.
*All of this for $60 per player. Includes greens fee and cart as well.
Golfer #1
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Golfer #2
Name
Email
Phone
*
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Payment (Includes greens fee and cart as well!)
Paying for myself ($60)
Paying for my team ($120)
Pay by check ($0)
Paying for myself ($60)
Paying for my team ($120)
Pay by check ($0)
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
October 19, 2019. 8 a.m.
Saturday, October 19th! Chamberlyne Country Club Tee Off Shotgun Start at 8 am.
*Free bucket of range balls is included in your fee! Come early and get your swing locked in!
*Mulligans are available for $5. There are unlimited because we've seen your swings.
*Lunch is provided. Stay awhile after and brag about your game, or at least the one hit that keeps you golfing.
*Trophies for up to three flights.
*Snack and drink cart will be available on the course.
*Red tees will be sold for $5 each (limit 2 per person!)
*Contests include Hole-in-One, and three closest to the pin prizes.
*All of this for $60 per player. Includes greens fee and cart as well.
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