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Team Captain Name: _______________________
Zip Code: __________ Phone: _______________
Email:____________________________________
Partner Name: ____________________________
4th Annual
Golf “fore” MS
April 29th
Zip Code: __________ Phone: _______________
Email:____________________________________
Partner Name: ____________________________
Zip Code: __________ Phone: _______________
Email:____________________________________
Partner Name: ____________________________
Zip Code: __________ Phone: _______________
Email:____________________________________
DINNER ONLY
Name: ___________________________________
Email:____________________________________
Name: ___________________________________
Email:____________________________________
Provide your email above to be included in
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Golf “Fore” MS updates. We pride ourselves
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MAKE ALL CHECKS PAYABLE TO:
Golf “Fore” MS
Paid ____________.______ Date: ________________________
Method of Payment: _________________________________
Please Send Your Registration to the Following
Golf “Fore” MS—ATTN: Vic Erickson
6864 Eastwood Trail
West Bend, WI 53090
262-675-9922
www.westbendlakesgolf.com
1241 Hwy 33 E
West Bend, WI 53095
If you haven't tried us lately...
You haven't tried us at all!
A FUNDRAISING EVENT!
GOLF “FORE” MS WOULD LIKE
TO THANK OUR 2016
SPONSORS AND CONTRIBUTERS
All Proceeds go directly to the National MS Society!
When:
Saturday, April 29th, 2017
Sign-up Deadline: April 14th, 2017
Where:
Format:
West Bend Lakes Golf Club
Details:
4-Person 18-Holes Scramble
(Pick the Best Shot of Four)
Prizes, Hole Events, Raffles, Putting
Contest, Dinner & FUN!
Golfer Price:
$75 per Golfer
18-Holes w/ Riding Cart, Hole Events,
Raffle Opportunities, Buffet Dinner,
(2) Drink Tickets, Team Prizes & a
Donation to the MS Society
Dinner Only Price:
$17 per Participant
Buffet Dinner, Raffle Opportunities, All
of the After Golf Fun, Camaraderie &
Fellowship you can Handle
Agenda
·Registration ............................... 10 am—10:45 am
Player Package Includes: Sleeve of Golf Balls,
(2) Drink Tickets & a Bag of Tees
·Shotgun Tee Off ..................................... 11:00 am
18-Holes w/ Riding Cart & Hole Events
·Dinner,
Awards & Raffles............. 4 pm (Approx.)
CONTACT 262-334-4089
 Americraft Cookware
 Kettle Hills Golf Club
 Adam Leu
 Killian’s McDonalds
 Aprille Ciriacks
 Kirsten and Jeff Kletzine
 Beaver Dam C.C.
 Kirsten Kletzine / Beachbody
 Ben Werner
 Kris & Lynn Erickson-Deeg
 Between the Greens
 KS Energy Services
 Bill & Mary Cummings
 Leif Stromberg
 Bob Merkel
 Mary Gumm/Tastefully Simple
 The Golf Club at Camelot
 Mike & Lucy Bloedorn
 Camping World
 Mike & Vicki Krajna
 Capitol Stamping
 Milwaukee Admerials
 Chinooks Baseball
 Milwaukee Wave
 Chris Merkel
 West Bend Moose Lodge
 Cobra/Puma—Paul Minz
 The Norbert
 Cousins Subs (Kewauskum
 Papa Murphy’s Pizza
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Vic Erickson, Chairperson
[email protected]
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Committee Members
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Bernie Erickson, Mike Bloedorn, Kirsten Kletzine,
Mike Krajna, Vicki Krajna, Erin Ciriacks, Jim
Kiesow, Linda Sigler, DJ Haug & Jeff Werner
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Kewaskum & Paradise
West Bend Locations
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& Paradise WB)
The Dawg House
Deb Grosz
DJ Haug
Don Zerfas
Dublin’s Pub
Erin & Jerald Ciriacks
Erin Ciriacks/Arbonne
Five Corners Dodge/Chrysler
Falkowski Chiropractic
Fox Hills Golf Club
Frito-Lay
Fred & Sue Spaeth
Galioto’s Restaurant
Gordie Boucher West Bend
Grand Larsony
Great Outdoors
Green Bay Packers
Guaranty Bank
Horicon Hills G.C.
Jailhouse Restaurant
Jeff & Sharon Werner
Jeff “Stu” Kiesow
Jim Kiesow & Linda Sigler
Jim Merkel
Joe & Shirley Wikrent
Johnson Bus Company
Johnson Controls. Inc.
KCMS Construction
Kelly Gish
Kestrel Ridge G.C.
 Paul & Margaret Nelson
 Paul & Maris Fried
 Paul Ley/Srixon Golf
 Pillars Pub
 Poplar Inn
 Portage Country Club
 Quit Qui Oc Golf Club
 Railroad Station
 Riverside Brewery
 Rob Elliot
 Schwai’s Meat & Sausage
 Scott & Jackie Sickler
 Sherry Pickler
 Spiros Industries
 Start to Finish Construction
 Sweet Creations
 Timber Rattlers
 Toni Balistrieri/Thom Manella
 Trapper’s Turn Golf Club
 Tri-County Kennels
 Vic & Bernie Erickson
 Wendy Werner
 Wendy Wiczynski
 Ron and MaryAnn Woelfel
 West Bend Mutual
 West Bend Lakes Golf Club
 Woodridge Chiropractic