Company Name:

Phone:

Contact Person:

Email:

Team: (4-man scramble)

Handicap:

Mulligans:

1

Box1

Box2

First Checkbox

2

Box3

Box4

Second Checkbox

3

Box5

Box6

Third Checkbox

4

Box7

Box8

Fourth checkbox

5

Additional Sponsorships

Box9

Box10

Send

TOURNAMENT

INFORMATION

Registration Time

12:00 pm

Tee Time

1:00 pm

Location

6300 Championship Ct
Gonzales LA 70837

Cost Per Team

$600

Method Of Payment

Checks payable to Eastern
Services
Memo lake Charles
hurricane relief fund

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