G & B ENERGY “IRONS IN THE FIRE” GOLF

g & b energy “irons in the fire” golf and social * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * please comp

G & B ENERGY
“IRONS IN THE FIRE” GOLF AND SOCIAL
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PLEASE COMPLETE ENTRY FORM AND RETURN WITH
ENTRY FEE AND DONATION AS SOON AS POSSIBLE
ENTRY DEADLINE IS AUGUST 5, 2016
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Name: ________________________________________________________
Company: ________________________________________________________
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Address: ________________________________________________________
City State Zip:
________________________________________________________
Daytime Phone: ________________________Home Phone:
____________________
Handicap: _____________
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Shirt Size: S ____ M ____ L ____ XL ____ XXL ____
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Please complete all information for the other 3 players on your team:
Name: _____________________________________ Handicap: ________
==============================================================
Address: _____________________________________ Phone: ___________
City State Zip: _____________________________________
Shirt Size: S ____ M ____ L ____ XL ____ XXL ____
Name: _____________________________________ Handicap: ________
Address: _____________________________________ Phone: ___________
City State Zip: _____________________________________
Shirt Size: S ____ M ____ L ____ XL ____ XXL ____
Name: _____________________________________ Handicap: ________
Address: _____________________________________ Phone: ___________
City State Zip: _____________________________________
Shirt Size: S ____ M ____ L ____ XL ____ XXL ____
Number of Players (Cedarbrook Members)* ________ x $130 = $ ________
Number of Players (Non Members)* ________ x $150 = $ ________
Sponsorship level*
___ Co-Sponsor($1,500) ___ Prime($500) ___Choice($250) ___Select($100)
$ ________
Donation to the Yadkin Valley United Fund– please give generously $
________
Total Amount Enclosed $ ________
*Entry Fee includes (1 Mulligan, and Skins game and a chance to win
$1,000 cash)
Please enclose check payable to: G & B Energy - Golf Tourney
Post Office Box 811
Elkin, NC 28621
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Starting Time: Afternoon Tee Time Only - Shotgun starting at 11:30 AM