2016 TEBUGHNA FOUNDATION FUNDRAISER GOLF TOURNAMENT * JUNE 05, 2017
Make checks payable to: Tebughna Foundation - 1689 C St Ste 120 Anchorage, AK 99501 * 26-1103838 Non-Profit/501c3
Enter as a single player or as a team $200.00 player or $800 team
7 am Shotgun start * Check-In Opens at 6 am
Anchorage Golf Course
3651 O'Malley Road, Anchorage Alaska 99515
EARLY BIRD REGISTRATION
Register by May 14, 2017 to get your name into a Special prize DRAWING!
Player # 1 or single player Shirt Size S M L XL Other___
Player # 2 or single player Shirt Size S M L XL Other___
Name
Name
Home Mailing Address
Home Mailing Address
City
State
City
State
Home Phone Cell Phone Work Phone
Home Phone Cell Phone Work Phone
Handicap, Index orlast five average scores
Handicap, Index orlast five average scores
Player # 3 or single player Shirt Size S M L XL Other___
Player # 4 or single player Shirt Size S M L XL Other___
Name
Name
Home Mailing Address
Home Mailing Address
City
State
City
State
Home Phone Cell Phone Work Phone
Home Phone Cell Phone Work Phone
Handicap, Index orlast five average scores
Handicap, Index orlast five average scores
Payment: Check
Visa
Mastercard
Attend Lunch - Only $30.00
(Please circle)
Company Name
Guest Name/Phone
Card Holder Name
Credit Card Number/Exp Date/3Digits
Billing Address
City, State, Zip
Signature
Total Amount