Entry Fee: $240 PER 4 PERSON TEAM—$60 for Individual Player.

Mill Quarter Plantation Golf Club
1525 Mill Quarter Road
Powhatan, VA 23139
804-598-4221
www.millquarter.com
Registration & Hotdogs: 12:00pm—1:00pm
Tee Time: 1:00pm
Entry Fee: $240 PER 4 PERSON TEAM—$60 for Individual Player.
Includes green fees, cart, beverages, snacks, lunch, dinner and door prizes.
You can register and pay online at www.virginiassca.org
Competitive Prizes
Longest Drive, Closest to the Pin
Mulligans, 50/50 Drawings
available for purchase
or register
you canand
mail
it online
separately
to:
You can
pay
at www.virginiassca.org
or you can mail it separately to:
Jeff Dillman,
Warden
Jeff Dillman,
Warden
Fluvanna Correctional Center for Women
Fluvanna Correctional
Center for Women
P. O. Box 1000
VA 22974
O.Troy,
Box
Email questions to BuckP.
Rogers
at 1000
[email protected]
Questions call Jeff Dillman at (804) 839-6768 or email at [email protected]
Forms/Fees due by June 1, 2017
Make checks payable to SSCA
Team Name
Team Captain
Cell Phone
Team Members
Cell Phone
Cell Phone
Cell Phone
Single Player
Cell Phone
For Vendor information on sponsorship, go to www.virginiassca.org.