4801 Springfield Street, Riverside, Ohio 45431Phone: (937) 236-1122
Email: mvspinabifida@yahoo.com
Website: www.mvspinabifida.org
3rd ANNUAL CHARITY
GOLF SCRAMBLE
Saturday, July 16th, 2011, 7:30 a.m. Shotgun Start
(registration
& driving range open at 7:00 a.m.)
The Golf Club at Yankee Trace
Centerville, Ohio
Registration
Form
Please Print:
Name: _____________________________________________________________
Company __________________________________________________________
Address: ___________________________________________________________
City: ____________________________ State
__________ Zip ______________
Phone
__________________ Email ______________________________________
**Full registration: 18 holes of championship golf, unlimited use of driving
range, golf carts, professional bag drop service, professional scoring, awards/prizes, buffet lunch, and
beverages.
Early Bird Rate
(registration received by June 19th)………… $65.00
Regular Rate (registration received after June 19th)…………
$75.00
Please Register the Following
Person(s) for the MVSBO 2011 Charity Golf Outing:
(You do not need to have a complete foursome to play. Yankee Trace prohibits
the
use of
metal or ceramic spiked shoes.)
Name(s):
Fee: Name(s):
Fee:
____________________________________
_________________________________
____________________________________ _________________________________
TOTAL Fees: $______________
_______ I have enclosed a check (made payable to: MVSBO). Return check
with the completed registration form by July 9th, 2010, to : MVSBO, c/o Linda Coombe, 1767 Austin
Rd., Centerville, OH, 45458.
Questions?? Call Linda 937-478-8301
