play golf = help kids

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Friday, May 12, 2017 Cypress Lakes Golf Course, Hope Mills, NC

Sign up as: 1. A 4-person team 2. A single player 3. A sponsor for a Hole or a Team/Hole Combination

All proceeds from the Tony Jernigan Memorial Tournament will be used to provide scholarships for campers who cannot afford the cost of summer camp.

play golf = help kids

Tournament Details Event is held at Cypress Lakes Golf Course, 2126 Cypress Lakes Circle, Hope Mills, NC. Format is Captain’s Choice with awards presented to the top team in each flight featuring door prizes, prizes for Men and Women’s Long Drive, Closest to the Pin, and Hole in One prizes! 11:00–12:45 Arrival and Check in 12:00pm Hotdog Lunch, Putting Contest, Free Range Balls 1:00pm

Tee Time

Finale

Free Pig Pickin’

Team registration is limited to 32 teams. Entry deadline is May 10.

Contact Us If you need more information or need to register by phone, please call our office. 373 W. Bladen Union Church Rd., Fayetteville, NC 28306 Phone: 910-865-5180 | Fax: 910-865-4277 Email [email protected] | www.campdixie.com

Tony Jernigan Memorial Golf Tournament | Friday, May 12, 2017

Register as an individual, with a group of friends, or as a business at

www.campdixie.com or fill out this form and send it in. Contact Us:

I would like to sign up for: Single Player (we place you on a team)

373 W. Bladen Union Church Rd. Fayetteville, NC 28306

$75.00

Team (4-person)

$300.00

Hole Sponsorship

$100.00

Team/Hole Sponsorship Combo

$350.00

(Includes a sign at a tee box and sponsor’s name listed on back of rules sheet)

(Includes a 4-person team and a hole sponsorship)

Phone: 910-865-5180 Fax: 910-865-4277 Email: [email protected] Web: www.campdixie.com

TOTAL:

YOUR NAME: ______________________________________________________________ ADDRESS: ________________________________________________________________ PHONE: _____________________________ EMAIL: ______________________________

: _________________________________________________ BUSINESS NAME (as you want it listed on hole sign if signing up for hole sponsorship)

Player 1: ______________________________

Phone: _______________________

Team Members

Email: _______________________ Player 2:______________________________

Phone: _______________________ Email: _______________________

Player 3:______________________________

Phone: _______________________ Email: _______________________

Player 4:______________________________

Phone: _______________________ Email: _______________________

Method of Payment:

Check (made payable to Camp Dixie)

Credit Card

Name on Card:___________________________ Card #:_________________________________ Exp. Date:_____________

CVV #:______

Signature:__________________________________

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