The Kimbers Invitational Thursday, June 11, 2015-Rogues Roost-10:30 Shotgun To Golf: $150 per person $600 per foursome To be a Hole Sponsor: $100 per hole Hole Sponsor Name(s)/Message: 1.___________________________________________ Message:_____________________________________ 2.___________________________________________ This document is fill out-able. Please fill Message:_____________________________________ it out, save it, and email to: 3.___________________________________________ [email protected]. Message:_____________________________________ Payment: __ Visa __MC __AmEx 4.___________________________________________ CC#:____________________Exp:_____ Message:_____________________________________ Name of Registrant: ____________________________________________________________ Exact Name on Credit Card:______________________________________________________ Company (if applicable) ________________________________________________________ Address: ______________________________________________________________________ City: __________________________________State: _________________ Zip:_____________ Foursome Name: _______________________________________________________________________ E-mail: ______________________________________________________________________ Name: _______________________________________________________________________ E-Mail: ______________________________________________________________________ Name: _______________________________________________________________________ E-mail: _______________________________________________________________________ Name: _______________________________________________________________________ E-Mail: ______________________________________________________________________ For more information, go to www.elmcrest.org, or call Teri Block at 315-446-6250, [email protected]