Sponsored by Phillips & King International, Inc. Annual Charity Golf Tournament Participant Form Thursday, May 7th, 2015 | 10 :00 am Shotgun $275 Entry Fee All proceeds go to Location Moorpark Country Club 11800 Championship Drive, Moorpark, CA 93021 includes: • Lunch • Full-course dinner • Gift bag • Lots of cigars! Prizes awarded for: • Hole-in-One • Longest Drive (one male and one female winner) • Closest to Pin (one male and one female winner) • Putting Contest There will also be a raffle, live auction and silent auction. Early Bird Special $250 (for golf and meal). Receive extra goodies & reserve t-shirt size. Register by April 8th Casino Night Tournament Party May 6th, 2015 | 6:30pm Hole-in-One Contest Prize Courtesy of BMW For more information, e-mail, call or visit the event web page at: E: [email protected] T: (800) 532-4427, x218 W: charitygolf.pkcigar.com $25 entry fee Casino Night will be held the night before the tournament. This event will include poker tables, blackjack tables (professional dealers) and a pool tournament. Food & beverages will be provided. Event will take place at Kretek International, Inc. 5449 Endeavour Court, Moorpark, CA 93021 *Non-player lunch and dinner only is $100. Dinner is at approximately 5pm. Only one t-shirt per golf participant. Golf Participant Registration Form Payment Name Address CityStateZip Phone Number E-mail Address Assign me to a foursome. My golf partners are: Please Indicate number attending. _____ Golf + Meal ($275 each) Name on card _____ I will not be participating but would like to donate a total amount of $ ______. Please indicate number of shirts next to each size. _____ M _____ L Only one t-shirt per golf participant. _____ XL Card # Exp. date _____ Casino Night ($25 each) _____ S Please bill my credit card. CVV # _____ Meals Only ($100 each) Please fill out and send to: Attn: Danielle Yee The Cassar Family Foundation 5449 Endeavour Court Moorpark, CA 93021 Enclosed is a check or money order made payable to Cassar Family Foundation. _____ XXL Billing address Signature of cardholder