1st Annual Scholarship Fund Golf Tournament Golf Entry Form All Proceeds Benefit The Pipeliners Club of Oklahoma City Scholarship Fund Entry Deadline – May 15, 2015 Tournament Date - Monday, June 1, 2015 Lincoln Park Golf Club 4001 NE Grand Blvd ▪ Oklahoma City, OK The Pipeliners Club of Oklahoma City is requesting your support for this year’s Scholarship Fund Golf Tournament. Your support of this annual tournament raises funds for The Pipeliners Club of Oklahoma City Scholarship Fund. Please help us kick start our inaugural golf tournament scholarship effort. Registration Costs □ □ Format Team (4 players) - $600 4 Man Scramble, Par Max Individual - $150 Includes Round Preference □ □ Driving Range, Green Fees, Cart, Lunch, (1) Door Prize Ticket, (1) Drink Ticket, Swag Bag, Photos, Awards Morning – 7:30am start, Lunch at 11am Afternoon – 1:30pm start, Lunch at 11am Golfer’s Name 1. 2. 3. 4. MULLIGANS ($10 each) / limit 2 per player DOOR PRIZE TICKETS ($5 Each Additional) GRAND TOTAL Entry Fee Email Address (Team Primary Contact) ______________________ Company ______________________________________________ Competitions Hole in One – Win a New Chevy Truck Best Team Score Closest to the Pin Longest Putt Longest Drive Liability Waiver I assume all risks involved in participating in the Pipeliners Club of Oklahoma City Golf Tournament and do for myself, my heirs, executors, administrators, and assignees waive, release, and forever discharge any and all rights and claims which may have or which hereafter accrue to me against the Pipeliners Club of Oklahoma City and Lincoln Park Golf Course, including its officers or members along with any sponsors and their representatives and successors. All participants required to sign the liability waiver at the tournament check-in. “Payments and/or Sponsorships made to the Pipeliners Club of Oklahoma City are not deductible as charitable contributions for U.S. Federal income tax purposes, but may be deductible as a business expense.” Billing Name_________________________________________________ Company ______________________________________________ Address _______________________________________________ Phone _________________ Email ________________________ Payment □ Check: □ Credit Card: Payable To: “The Pipeliners Club of Oklahoma City” We accept credit cards through our website.: http://okcpipeliners.org/event-registration/ Round assignments will be made on a first come, first served basis based on complete (paid) entries. Please register online OR email/mail your registration & payment by Friday, May 15, 2015 to: Alice Mize 615 N. Hudson Suite 200 Oklahoma City, OK 73102 (405)-200-0312 [email protected]
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