Golfer Registration Form AWS

-Golfer Registration Form-



Name or Foursome Coordinator: __________________________________________________________________ Phone: _____________________________ Email: ________________________________________________ Company (if applicable): _______________________________________________________________________ Mailing Address:

_______________________________________________________________________ _______________________________________________________________________

Foursome Members (if applicable): Golfer #1: Name: _________________________________

Email: ____________________________________

Golfer #2: Name: _________________________________

Email: ____________________________________

Golfer #3: Name: _________________________________

Email: ____________________________________

Golfer #4: Name: _________________________________

Email: ____________________________________

Registration Fee:

$125 x ______ (number of golfers registering) LESS 10% if paid by 10/1/16 = $____________

Payment:

Check mailed to: Kiwanis Club of Desert Ridge, 5643 E Anderson Dr., Scottsdale, AZ 85254 Please invoice me though PayPal

Please complete registration and email to [email protected] or fax to 855-698-1031