2017 Registration Form
Please print legibly!
I am signing up for a: 6 player team - $150 deposit to hold your spot
Name of Team:______
Team Captain:______
Address:______
Phone: ______-______-______
Player Name GHIN# E-mail Address 1 2 3 4 5 6
Method of Payment (circle one): Check Visa/Master Card/AMEX/Discover
Credit Card#:______
Card Holder Name:______Expiration Date:______
Card Holder Signature:______CVV:______
Phone: ______-______-______Date:_____/_____/______
The league will have 10 teams and run for a duration of 7 weeks starting May 16th-June 27th. All teams will tee off each Tuesday at 5:30 pm, shotgun start.
The league fees are $140 per player for the whole league, Includes all rounds of golf, team prizes, and league party on June 27th. Carts can be rented for $10 each player.
Poplar Creek GC Pro Shop, 1700 Coyote Point Dr. San Mateo, CA 94401
Phone: 650-522-4653, Fax: 650-522-7511
*In order to hold a place for your team, you must have all six players and make a full payment with your completed registration for. All information is required to reserve your spot