BSO Registration Form2016

36th ANNUAL

at Redtail Golf Club Friday, June 3, 2016, 10:00 AM Golf, Lunch & Dinner @ $125* =

FOURSOMES

Golfer’s Name(s)

Dinner Only @ $25 = Hole Sponsor @ $250 = Extra Players Gift @ $25 = Total =

#1 #2 #3

Your Name: Phone No:

#4

Address:

Check If Not Staying for Dinner

NAME: E-mail: NAME: E-mail: NAME: E-mail: NAME: E-mail: Each golfer will receive a limited edition Blue Streak Open Golfer Gift as a gift, extras are available for $20 each.

City and Zip:

I can’t golf this year, but please accept my tax deductible donation of $ ______________

Make Checks Payable To:

Woodstock Backers Club

GOLFER #1

 

Visa Master Card

GOLFER #4 GOLFER #3 GOLFER #2

Tax deductible to the fullest extent of the law.

 

Visa Master Card

Card #

 

Visa Master Card

Card #

 

Visa Master Card

Card #

Send Payment To: WOODSTOCK HIGH SCHOOL ATHLETIC DEPT. 501 W. South St. Woostock, IL 60098

Card # CVV #

CVV #

CVV #

CVV #

Exp. Date: ZIP

Signature: Exp. Date:

ZIP

Signature: Exp. Date:

ZIP

Signature: Exp. Date:

ZIP

Signature:

Print and fax back to the WHS Athletic Department at 815.337.5414 or email [email protected] WOODSTOCK HIGH SCHOOL, 501 W. South St, Woodstock, IL 60098 WHS Athletic Office - 815.337.3030