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Citrus Cardiology Consultants, PA
Golf Benefit for Cardiac Kids Foundation
GOLF TOURNAMENT ENTRY FORM
DATE:
TIME:
April 4, 2015
Registration at 11:00 AM. Shotgun Start 12:30 PM
Range balls open 11:00 AM – 12:00 PM
PLACE:
Skyview Club at Terra Vista
2100 N. Terra Vista Blvd.
Hernando, FL 34442
ENTRY FEE:
$100.00 per player
(includes: green fees, cart, range balls & box lunch)
Payment Due with registration form.
Personal Check or Credit Card (use the following link)
http://cardiackidsfl.com/2015_ccc_golf_tourney.html
Benefit Committee
Jerry DeLoach
M. Kay Wilson
Bryce Hale
CONTACT:
Jerry DeLoach
Tournament Administrator
[email protected]
Mobile: 352.634.0929
Fax:
352.344.6885
Mailing Address
308 W. Highland Blvd.
Inverness, FL 34452
Format:
2-person Scramble. Mulligans available for purchase.
Cancelation Policy:
There is no rain date, so if there is a cancellation due to
weather, players may elect to donate their registration
fee to the charity or request a refund.
ENTRY FORM (please print):
PLAYER ONE
NAME:
__________________________________________
COMPANY:
__________________________________________
ADDRESS:
__________________________________________
__________________________________________
All proceeds will
Benefit the Cardiac
Kids Foundation, Inc.,
A 501(c)(3) charity
that provides financial
assistance to families
of children with
cardiac issues. For
more information,
please visit their
website at
www.cardiackidsfl.org.
Sponsorships Available!
For details, please call
Kay Wilson at 352.751.3356
Or email her at
[email protected]
TELEPHONE:
__________________________________________
EMAIL:
__________________________________________
AVG. SCORE FOR 18-HOLES (or Handicap):
___________________
PLAYER TWO
NAME:
__________________________________________
COMPANY:
__________________________________________
ADDRESS:
__________________________________________
__________________________________________
TELEPHONE:
__________________________________________
EMAIL:
__________________________________________
AVG. SCORE FOR 18-HOLES (or Handicap):
___________________