WWW.BENEFITGOLFCLASSIC.COM

2008  OFFICIAL REGISTRATION FORM

Golfer #1______________________________

 Address ______________________________

 Phone #  ______________________________

 Company______________________________

 Golfer #2 ______________________________

 Address _______________________________

 Phone # _______________________________

 Company ______________________________

  Total for _______ extra lunch(S) X $18.00

 Entry Fee is $75.00 per person X 2 = $150.00

 Total amount of check (Payable to Benefit Golf Classic) $________

   $25.00 Charge on all returned checks        “Only U.S. Currency Accepted”

If you elect to sign up as a Foursome,

your team will not be eligible for prizes.

 Please, one check to cover all costs and donations.

 Print out and send this registration and check to:

PMOC C/O Gene Daily   7544 NE 33rd DR. Portland, OR 97211

 THANK YOU FOR YOUR SUPPORT

   “Achieving a certain level of success in golf is only important

if you can finally enjoy the level you’ve reached after you’ve reached it”.

 If you have any questions, please call Gene Daily at 503-860-6328

Hit Counter