2017 Montana Roundball Golf Classic Official Entry ... - Ranch Club
2017 Montana Roundball Golf Classic Official Entry Form The Ranch Club Friday, September 22, 2017 - Tournament- 9:00 A.M. Shotgun Start SEE BACK- Bobby Wilson Golf Clinic Prior to Tournament Team Members: (please print) Phone
Names of Team Members
Email
Roundball Membership
1. 2. 3 4. TEE PRIZE-New and different prize included in entry fee. ENTRY FEE -- Individual fees are $200*. Upon receipt of each team entry form and payment, that team will be officially entered. We accept both checks and credit cards. Please make checks payable to Grizzly Basketball Camps. Mail to: Grizzly Basketball- Attn: Julie, University of Montana, Hoyt Athletic Complex-Adams Center, Missoula, MT 59812 ROUNDBALL MEMEBERSHIP—Individual golfers can upgrade to a full Roundball Membership for a total of $600, including entry fee and membership, an $800 value. (New Members Only)
Credit Card Information Cardholder:___________________________
Cardholder:___________________________
Billing Address:_____________________________
Billing Address:_____________________________
City:________________ST:_____Zip:_________
City:________________ST:____Zip:_________
Card # ______________________________
Card # ______________________________
Exp. Date______________ VCC:__________
Exp. Date______________VCC:__________
Amount: $_____________
Amount: $_____________
Cardholder:___________________________
Cardholder:___________________________
Billing Address:_____________________________
Billing Address:_____________________________
City:________________ ST:_____Zip:_________
City:_______________ ST:_____Zip:_________
Card # ______________________________
Card # ______________________________
Exp. Date______________VCC:__________
Exp. Date______________VCC:__________
Amount: $_____________
Amount: $_____________
*Team Captain Name___________________________________________________________ *Address_____________________________________________________________________ *Email address________________________________________________________________ *- Required fields, please! Please Note: The tournament is limited to the first 32 paid teams.
Names of Team Members
Roundball Membership
1. 2. 3 4. TEE PRIZE-New and different prize included in entry fee. ENTRY FEE -- Individual fees are $200*. Upon receipt of each team entry form and payment, that team will be officially entered. We accept both checks and credit cards. Please make checks payable to Grizzly Basketball Camps. Mail to: Grizzly Basketball- Attn: Julie, University of Montana, Hoyt Athletic Complex-Adams Center, Missoula, MT 59812 ROUNDBALL MEMEBERSHIP—Individual golfers can upgrade to a full Roundball Membership for a total of $600, including entry fee and membership, an $800 value. (New Members Only)
Credit Card Information Cardholder:___________________________
Cardholder:___________________________
Billing Address:_____________________________
Billing Address:_____________________________
City:________________ST:_____Zip:_________
City:________________ST:____Zip:_________
Card # ______________________________
Card # ______________________________
Exp. Date______________ VCC:__________
Exp. Date______________VCC:__________
Amount: $_____________
Amount: $_____________
Cardholder:___________________________
Cardholder:___________________________
Billing Address:_____________________________
Billing Address:_____________________________
City:________________ ST:_____Zip:_________
City:_______________ ST:_____Zip:_________
Card # ______________________________
Card # ______________________________
Exp. Date______________VCC:__________
Exp. Date______________VCC:__________
Amount: $_____________
Amount: $_____________
*Team Captain Name___________________________________________________________ *Address_____________________________________________________________________ *Email address________________________________________________________________ *- Required fields, please! Please Note: The tournament is limited to the first 32 paid teams.
