6th Annual School of Mines & Community Golf
Tournament Entry Form

June 7, 2010

Complete and return this entry form with your registration fee of $160 per player as soon as possible.  Registration this year also includes one chance for $1,000 putting challenge.  Registration is limited to 120 golfers.

Participants are kindly asked to respect the dress code and policies of Arrowhead Country Club and are advised that only soft spike golf shoes are allowed on the course.

* indicates required information.

Player #1
*Name:     *Handicap: 
Company:
*Mailing Address:   *City:   *State:   *Zip Code:
*Telephone:   Fax:   *Email:

Player # 2
Name:    Handicap: 
Company:
Mailing Address:   City:   State:   Zip Code:
Telephone:   Fax:   Email:

Player # 3
Name:    Handicap: 
Company:
Mailing Address:   City:   State:   Zip Code:
Telephone:   Fax:   Email:

Player # 4
Name:    Handicap: 
Company:
Mailing Address:   City:   State:   Zip Code:
Telephone:   Fax:   Email:

Total Cost: $