June 27, 2013
Pumpkin Ridge Golf Club

Team Registration (four players) $1,000

• Green fees
• Buffet Lunch
• Golf cart
• Unlimited Range Balls
• Tee Prize
• Hosted Beverages

Contact Info
Name:		Company:
Mailing Address:
City:		State:	Select... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming	Zip:
Email:		Phone:		Fax:
Team Participants
Participant 1 Name:
Participant 2 Name:
Participant 3 Name:
Participant 4 Name:
Reservations
Please reserve foursome(s) at $1,000 each Select... 1 2 3 4 5 6 7 8 9 10
Please reserve individual tee time(s) at $250 each Select... 1 2 3 4 5 6 7 8 9 10
Required Information