Team Registration

Name of Company/Organization

Contact Person

First

Last

Phone

Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Player Address Mailing

Email

Players

Player Fee includes: lunch, 19th hole appetizers, range balls, door prizes, prizes for top three teams, longest drive and closest to the pin. Mulligans are $10 each and limited to 2 each per player. Total cost for team of 4 is $600 or $680 with two mulligans per player

Player Name (1)

First

Last

Handicap

$150
$170*

*Includes two mulligans

Player Name (2)

First

Last

Handicap

$150
$170*

*Includes two mulligans

Player Name (3)

First

Last

Handicap

$150
$170*

*Includes two mulligans

Player Name (4)

First

Last

Handicap

$150
$170*

*Includes two mulligans

Payment Method

Check
Cash
Card*

*A 5% processing fee will be applied to all payments made by credit card. By choosing to pay with a credit card, you acknowledge and agree to this additional charge

Please make checks payable to the Pike County Chamber of Commerce

Pike County Chamber of Commerce

Annual Spring Open- Team Registration

Players

Thank your for your support!