15TH ANNUAL BARC GOLF CLASSIC FRIDAY, SEPTEMBER 11, 2015 10:00 A.M. – Registration 11:15 A.M. – Shotgun Start 4:30 P.M. – Raffle, Dinner & Live Auction 4 Person Scramble – Best Ball Format Registration and Sponsorship Form Dinner Only: $25.00 Hole Sponsor: $100.00 #______ Individual Golfer*: $175.00 Golf Team*: #______ Amt. $______ Longest Drive: Amt. $______ #______ Amt. $______ $600.00 #______ Amt. $______ $500.00 Amt. $_______ Closest to the Hole: $500.00 Amt. $_______ Fuzzy Dice: Blind Putt: $250.00 Amt. $_______ $500.00 Amt. $_______ Margarita Sponsor: $200.00 *Includes lunch and dinner Amt. $_______ Grand Total: $______________ Golfer #1:_________________________________________ Handicap _____ Shirt Size ______ Golfer #2:_________________________________________ Handicap _____ Shirt Size ______ Golfer #3:_________________________________________ Handicap _____ Shirt Size ______ Golfer #4:_________________________________________ Handicap _____ Shirt Size ______ Team Captain/Contact:_______________________________ E-Mail Address:_________________________________ Business Name: ______________________________________ Phone #:____________________________ Address:________________________________________________________________ Zip Code:________________ Visa Master Card American Express Credit Card #:___________________________________ Exp. Date:____ /____ 3-digit Code:______ Zip Code:_______ Signature:_______________________________________________________________ Please submit completed form to BARC Foundation no later than October 9, 2014. Make checks payable to: BARC Foundation 2240 South Union Avenue, Bakersfield, CA. 93307 661-834-2272 Fax: 661-834-9813 E- mail: [email protected] Green Fees, cart, food & beverage stations, tee prize bags, raffle prizes, contests, awards, presentation and dinner are included with your entry fee. Fair Market value for green fees, cart, lunch and dinner is equal to $85.00. Dress Code is enforced. TAX ID#: 72-1549925
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