- SCRAMBLE 4-19-08 registration form

Open to one and all. Make your own team. 9:00 Shotgun start Includes: golf, cart, full buffet dinner (2pm)and prizes. Cost: $52.00 per person Payoff: 1st, 2nd, 5th, 9th, 13th & 17th. Side Events: team skins & added purse shootout for teams finishing 3rd, 4th, 7th & 10th

First Name

Last Name

Phone Number

Address

City

State

Zip Code

Player #2 Name
*
Player #3 name
*
Player #4 name
*
Have you played in our Open Scramble before
Yes No *
I am sending you a check
Yes No *
What type of charge card

chg card #

expiration date of charge card

* Required Fields