Bill Read Golf Classic Team Registration

August 22, 2020

 

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
Sponsored By
Team Captain or Sponsor Contact
Country*
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 

Bill Read Golf Classic!

Payment Information

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

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