2nd Annual Sun Willows Golf Course 2535 North 20th Avenue Pasco, WA 99301 www.playsunwillows.com Virgie Robinson Scholarship Charity Spring Golf Classic Saturday April 26,22nd, 20142012 Saturday, September Registration/Check-in: 12:00 Noon Registration: 12:00 (noon) Shotgun Tee-Off : 1:00Pm Shotgun Start: 1:00pm Questions about registration should be directed to 509-539-6179 or 253-854--2205 Additional information on the Golf Classic at www.vmrscholarships.org Register Online at: www.vmrscholarships.org Register by fax: 253-854-2205 Register by mail: Return registration form and payment to: Pasco Education Foundation-Virgie Robinson Scholarship 10605 SE 240th Street – Suite 329 * Kent, WA 98031 REGISTRATION FORM Name: Company Name: Address: City: Contact Phone: State: Zip: County: Fax Number: E-Mail Address: Please list Team members: 1. 2. 3. 4. A registration form must be received from each player in order to be placed on a team. Odd numbered players or teams with fewer than 4 may be placed with other teams. Space is Limited – Register Early!! Registration Fees include Registration includes door prizes, 18holes of golf, riding cart, lunch and a chance to win various prizes. All players eligible to win a brand new Chevy Spark from McCurley Integrity Chevrolet! Proceeds benefit the Virgie Robinson Memorial Scholarship Fund. Serving graduating students from the Pasco School District and supporting teacher projects at the Virgie Robinson Elementary School. Credit Card: rC In the Amount of $ _______________________ Card Number: _______________________________________ Exp. Date: _________________ CCV Code: ____________ Name on Card: _______________________________________ (PRINT) Signature: ___________________________________________ Registrant (golfer)..…………………..…… Mulligans ($5.00 each/ limit of 2)……….. Guest Lunch Fee……...............………..… Drink Coupons …………………………… $100.00 $5.00 ea $16.00 $3.00ea Registrant Fee ____ x $100 = $ _________ Number of Mulligans ____ x $5 = $_________ Guest Lunch(es) $ _________ Drink Coupons $ _________ Grand Total $_________ Enclosed is my check made payable to: Pasco Education Foundation-Virgie Robinson Scholarship in the amount of $ ______________ The Virgie Robinson Memorial Scholarship is a nonprofit organization recognized by the State of Washington and affiliated with the Pasco Education Foundation www.pascopride.org