Bill Read Golf Classic Team Registration

August 25, 2018

 

Coffeyville Country Club

If your team registration is included with a sponsorship of the Bill Read Golf Classic please inlcude the

Business Name and a contact person for the sponsorship.  

 

 

This form may be used for registering a team or for individual payment from team members.

 

 Please use the comment section below if needed.

Team Contact Information

Team Registration Included with Sponsorship
  • Yes
  • No
Sponsored By
Team Captain or Sponsor Contact
Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
Confirm Email*
Phone*

Participant Information

Please complete the registration information for each participant.  

Golfer #1

Name
Golfer #1 Address (Street, City, State, Zip)
Golfer #1 Email
Golfer #1 Phone

Golfer #2

Name
Golfer #2 Address (Street, City, State, Zip)
Golfer #2 Email
Golfer #2 Phone

Golfer #3

Name
Golfer #3 Address (Street, City, State, Zip)
Golfer #3 Email
Golfer #3 Phone

Golfer #4

Name
Golfer #4 Address (Street, City, State, Zip)
Golfer #4 Email
Golfer #4 Phone

Registration Pricing

Quantity
Price
Total
Number of Golfers
X
$
75.00=
$
0

Carts Needed

Carts Needed for the team

X
$
35.00=
$
0

Mulligans

2 Mulligans allowed per golfer Maximum 8 Mulligans per team

X
$
5.00=
$
0

Yellow Ball Contest

A yellow ball will be rotated through each teammate and each hole. The teams who conclude the tournament with their yellow ball will be entered into a special prize drawing.

X
$
20.00=
$
0

Quick Trip to the Green

Advance to the Fringe on Hole #1 AND Hole #10

X
$
100.00=
$
0

Final Total:
$
0

Thank you for supporting the Coffeyville Regional Medical Center Foundation 

25th Annual Bill Read Golf Classic!

Payment Information

Amount*
$
Name on Card*
Card Number*
Additional Comments

Security Code

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