2012 Annual Golf Shootout Registration

Monday, April 23, 2012

Timarron Country Club
1400 Byron Nelson Parkway
Southlake, Texas 76092

Registration: 10:00 a.m.
Shotgun Start: 12:00 p.m.

Please complete the form below to register!  Upon completing the form, you will be able to pay for your registration.

6 Person Scramble Team
$1,500 Each Team before March 1st
$1,800 after March 1st

• Player Welcome Gift Package, valued over $200
• (2) Drink Tickets
• Lunch
• Party Hole
• Dinner
• Drawings and awards

Player Buy-In
$275 Each Player before March 1st
$300 after March 1st

• Player Welcome Gift Package, valued over $200
• (2) Drink Tickets
• Lunch
• Party Hole
• Dinner
• Drawings and awards

Please select one: * 6 Person Scramble Team - $1800 Individual Player Buy-In - $300

Team/Player Contact: *

Phone: *

Fax:

E-mail Address: *

Address:

City:

State:

Zip

Name of Player 1:

Name of Player 2:

Name of Player 3:

Name of Player 4:

Name of Player 5:

Name of Player 6:

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