TALLADEGA ROTARY 5th ANNUAL GOLF TOURNAMENT REGISTRATION FORM (4-4-08)

PLAYER ONE:

FIRST NAME:

LAST NAME:.

ADDRESS:

CITY

STATE:

ZIP CODE

PHONE:

E-MAIL:

HANDICAP (or Normally Shoot):

FIRST NAME:

LAST NAME:.

ADDRESS:

CITY

STATE:

ZIP CODE

PHONE:

E-MAIL:

HANDICAP (or Normally Shoot):

PLAYER TWO:

NOTE: Two  person team format.  However, you can sign up as a single player and we select a team member for you.  All handicaps subject to verification and may require validation.

PAYMENT INSTRUCTIONS (check or money order only):

Mail to:

Talladega Rotary

Attn: Golf Tournament

PO Box 141

Talladega, AL 35161

It is necessary to print this form and mail with your

payment.  However to speed your processing please

press the "Submit" prompt to the right after you have printed the form.

SINGLE PLAYER $ 65.00

2 PERSON/TEAM $ 120.00

Sponsor Team (include form with sponsorship agreement/payment)

Sponsor Individual (include form with sponsorship agreement/payment)