REGISTRATION FORM Orfordville Public Library Golf Scramble Saturday, July 11, 2015 Bass Creek Golf Club (RAIN DATE: July 12, 2015) Name: _________________________________________ Phone: __________________________ Address: _________________________________________ Email: __________________________ _________________________________________ COST: Entry Fee $45.00 per person Dinner ONLY $15.00 per person (Entry fee includes nine holes of golf, rental of golf cart,and dinner) All proceeds benefit the OPL exterior renovations. Make checks payable to: Friends of GOAL (Greater Orfordville Area Library) SPECIFICS: The nine-hole scramble will begin with a 1 PM shotgun start. Dinner will be served at 5 PM. A variety of raffles will be available throughout the day. Hole prizes will be awarded to both men and women on each hole of play. Enter early. We can register a MAXIMUM of 72 golfers. Registration Deadline: June 13, 2015 Call (608) 879-9229 or on the web: http://joananddennis.com/goal/ Mail or drop off completed form and payment at the Orfordville Public Library 519 E. Beloit St. P0 Box 249, Orfordville, WI 53576 ===================================================================================== MORE INFO: TO REGISTER: ____ I would like to register to golf in the OPL scramble on July 11, 2015 The members of my group include . . . ________________________________ __________________________________ _______________________________ __________________________________ We will complete your foursome if necessary. ____ I wish to attend the dinner ONLY TOTAL AMOUNT DUE: $ ________ PAYMENT RECEIVED: ________ Check # ________ ============================================================================================ ____ I wish to be a HOLE SPONSOR for this event. A MINIMUM donation of $50 will give you and/or your business visibility on the course with your name professionally printed on a sponsor sign. Deadline June 13, 2015 ____ I wish to donate to the raffles and/or drawings (gift certificate, service voucher, product, cash, theme basket, etc.) ____ I wish to make a donation of CASH to the Orfordville Public Library. April 18, 2015