GOLF REGISTRATION

IF YOU WOULD PREFER TO MAIL OR BRING YOUR REGISTRATION TO THE EVENT, PLEASE FEEL FREE TO DOWNLOAD AND PRINT THE FORM.

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9th ANNUAL PAUL FAUSETT GOLF SCRAMBLE
AUGUST 17, 2019
CHIPPENDALE GOLF COURSE

* Indicates required field

Name contact person *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Name golfer #1 *

First

Last

Name golfer # 2 *

First

Last

Name golfer # 3 *

First

Last

Name golfer # 4 *

First

Last

Choose payment method *

Option 1 mail check to church Option 2 pay day of event

COST IS $50/GOLFER OR $200/TEAM of 4
PRICE INCLUDES; 18 HOLES, CART; PRIZES; FOOD; FUN; FELLOWSHIP!

REGISTRATION & LUNCH AT NOON WITH TEE TIME AT 1PM

GOLF COURSE ADDRESS
CHIPPENDALE GOLF CLUB
1047 Golf Course Lane
Kokomo, IN 46902

Submit questions to Bill Waggoner wtawaggoner@hotmail.com

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9th ANNUAL PAUL FAUSETT GOLF SCRAMBLEAUGUST 17, 2019​CHIPPENDALE GOLF COURSE

9th ANNUAL PAUL FAUSETT GOLF SCRAMBLE
AUGUST 17, 2019
CHIPPENDALE GOLF COURSE