Fore the Tas Tas Golf Scrambe Registration

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2nd Annual Fore the Ta Tas Golf Scramble Registration All Proceeds Benefit the I.W.I.N. Foundation

River Glenn Country Club May 18th, 2013 Golf Registration Includes: green fees, cart, unlimited range balls, dinner, prizes, great give aways, and a fun filled day! Registration begins at 1:00 p.m. Shotgun Start at 2:30 and dinner and prizes immediately following. Silent Auction will begin at 1:00 p.m. and conclude at 7:00 p.m.

Register by Friday May 3rd, 2013 **Register as a team or as an individual**

___ Hole Sponsorship – Includes Team Entry $500 – Hole sign ______Foursome Registration $300 ___ Individual Registration $75 each x______players = ______total

Captain’s Name:______Shirt Size:______I’m a Survivor______

Golfer #2:______Shirt Size:______I’m a Survivor______

Golfer #3:______Shirt Size:______I’m a Survivor______

Golfer #4:______Shirt Size:______I’m a Survivor______

Captain’s Email Address:______

*****Registration forms can also be downloaded at www.iwinfoundation.org***** 2 Easy Payment Options: Email Or Mail this form with Check or CC information to: Stacy McMillin 7034 Brookville Rd. Indianapolis, IN 46239 [email protected]

1. Check Enclosed ______**Make Checks Payable to I.W.I.N Foundation** 2. Charge my Credit Card ______Visa ______Mastercard Expiration Date ______Card #______Signature:______3-digit Security Code______

If you can’t participate in golf please call 317-652-5653 or email [email protected] for other opportunities to support this great cause! Thank you for your support!!

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