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