THE MIKE - Memorial Golf Classic

"The Mike" Entry Form

Handicap _____________ Handicap _____________

Handicap _____________

Register _______________ golfers @ $500.00 each
Please include _________________additional cocktail reservations at $50 per person. $ __________ enclosed.
Name:	_________________
Address:	________________________________________________________
City:	_________________	State: ______________	Zip:	_______
Work Phone:	_________________	Home Phone ______________

Name:	_________________
Address:	________________________________________________________
City:	_________________	State: ______________	Zip:	_______
Work Phone:	_________________	Home Phone ______________

Name:	_________________
Address:	________________________________________________________
City:	_________________	State: ______________	Zip:	_______
Work Phone:	_________________	Home Phone ______________