6th Annual Marc Sargis Memorial 
 

Golfer Registration Form

 

Please provide the following information and send this form and payment to the address listed below.

-Forms received without proper payment will not be honored-

- Checks and Money Orders ONLY-

 

Name:

Address:

City:

State:

Zip:

Phone:

E-Mail:

             

 

Please circle the Number of golfers you wish to register.

Golfers registered together, will be golfing together.

If not registering 4 golfers, 4-somes will be created at random.

 

1 Golfer              2 Golfers             3 Golfers             4 Golfers

($150)                 ($300)                  ($450)                 ($600)

 

Please provide the golfer(s) names:

Golfer 1:

Golfer 2:

Golfer 3:

Golfer 4:

Total:

$

 

 

 

 

 

 

Please Make Checks Payable To:

Marc Sargis Memorial Fund

 

Send completed form and payment to:

 

Marc Sargis Memorial Fund

c/o Ray sargis

1633 Courtland Ave
Park Ridge, IL 60068

 

No Golfer Registered Until payment is received

ALL PAYMENTS MUST BE RECEIVED BY MAY 15th 2010

Thank You.