Mayfield Area
Chamber Of
Commerce

Golfer/Foursome Registration

Company Name


Contact:
First Name

Last Name


Address:
Street

Address 2

City

State

Zip Code

Phone Number

Fax Number

E-Mail Address


Golfer #1

Golfer #2

Golfer #3

Golfer #4


Register me for dinner only (NO GOLF) $40.00.

Single ticket: $125.00 - Early Bird Registration $100.00
Foursome package: $500.00 - Early Bird Registration $400.00

To qualify for the Early Bird Discount, we must receive your registration no later than July 5th, 2011 - NO EXCEPTIONS!!!!  Registrations received after July 5th, 2011 will be charged full price.