Team Registration Form
2010 Terrell Kiwanis Golf Tournament
Monday, September 20th
Van Zandt Country Club
1:00 Tee Time
Lunch served at 11:30
-Four Person Scramble
-Longest drive
-Closest to the pin
-Business contest (team with 2+ people from the same business qualify for the team trophy to be displayed at your business for 1 yr)
$75 per person (includes 2 mulligans) Plus $20 gift card & 2 additional mulligans-$40.
Contact Name __________________________________
Company Name (if applicable) ____________________________
Address _____________________________ City ______________________zip______________
Phone _____________________________ E-mail __________________________________
Player #1 Name ____________________________ email _______________________________
Player #2 Name ____________________________ email _______________________________
Player #3 Name ____________________________ email _______________________________
Player #4 Name ____________________________ email _______________________________
Credit Card type (circle one): mc vi disc
card # _________________________________ exp. _____________ 3-digit CID code: _______
amount _____________________ signature ____________________________________
Please email form to kacilandes@anbtx.com
or send check made payable to Kiwanis Club of Terrell and mail to: PO Box 12, Terrell, TX 75160
FMI Kiby Webb 972-524-2600 or Drew Perry 972-563-1417