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23rd Annual Shootout & Cookout!
Perry County Chamber of Commerce
Saturday, May 16th
White Tail Ridge Golf Course
14105 Thorn Twp. Rd. 21, Thornville
Men, Women or Mixed Teams Welcome.
$200.00 Chamber Member Teams
$220.00 Non-Chamber Member Teams
Team Name_____________________________________________________________________
Chamber Member Name_______________________________________________________
Player #1 (0-6+ Handicap) ________________________________________*Handicap______
*For 18 Holes of Play
Home Course________________________________________________Phone___________________________
Player #2 (7-12+ Handicap) _______________________________________*Handicap______
*For 18 Holes of Play
Mulligans!!
$20/team 1/player
Home Course________________________________________________Phone_____________________ _____
Player #3 (13-18+ Handicap) ______________________________________*Handicap______
*For 18 Holes of Play
Home Course________________________________________________Phone___________________________
Player #4 (19+ Handicap) ________________________________________ *Handicap______
Skins!!
(Included in EntryFee!)
*For 18 Holes of Play
Home Course________________________________________________Phone___________________________
Handicaps may be verified with your home course!
Team Captain (contact person) __________________________Daytime Phone _______________
Mailing Address _________________________________________________________________________
Preferred Tee Time (Shotgun Start)
_______ 8 am
________ 2 pm
2015 Prize List
**Free 24-month lease of a 2015 Ford Focus for a Hole-in-One (#3-1st time played)
1st Place Overall
Mixed & Ladies Teams are
2nd Place Overall
eligible to win overall!!
3rd Place Overall
1st Place Mixed/Ladies
(Lunch available from Noon to 2:00pm)
PLUS…Individual Prizes---Over $2,500.00 in total prize money and merchandise!
$600.00
$400.00
$300.00
$250.00
Entry
Deadline
Monday
5/11/15
This event is 18 holes with a scramble format. Play is at the White Tail Ridge Golf Course, located one mile south of State Route 204, between
Thornville and Glenford. The address is 14105 Thorn Township Road 21. Your entry includes golf, cart, skins, refreshments, cookout lunch
and the opportunity to win other prizes in addition to prizes listed above. Payment must accompany entry form. Your entry is not confirmed
without payment.
Send your entry form and payment to:
Perry County Chamber of Commerce
121 South Main Street
New Lexington, OH 43764
Please make checks payable to:
Perry County Chamber of Commerce
For more information, call the Chamber Office at 740-342-3547 or see a committee member. The 2015 committee is:
Dale DeRolph (740-659-2521)
John Largent (740-743-3890)
John Ulmer (740-281-7672)
Kevin Howell (740-743-1822)
Chad Seurkamp (740-394-2200) Chad Winegardner (740-342-1951)
Chuck Taylor (740-342-3365)
Tom Perkins (740-454-0105)
The Perry County Chamber of Commerce----Building Perry County’s Economic Future