3RD ANNUAL CHARITY GOLF TOURNAMENT
At Silverstone Golf Club
Las Vegas, Nevada
Friday, October 18, 2013
Player Registration
Name:
Company:
Address:
City, state, zip:
Telephone
Email:
Player’s Name:
Player’s Name:
Player’s Name:
Player’s Name:
Please check selection:
Individual player, $150 before September 6; $175 after September 6
Foursome, $600 before September 6; $700 after September 6
Total amount due $
Method of Payment:
Check
Companies only:
Bill me
Credit Card
Please make checks payable to NV Chapter of IFMA and send to PO Box 93721, Las Vegas, NV
89193
MASTER CARD AND VISA ACCEPTED
Exact Name on Card:
Card Number:
Signature:
Expiration Date: