Registration for 11th Annual Alex E. Souder IRWA Chapter 33 Memorial Scholarship Scramble
$100.00/ Golfer/ $400.00 Team of 4
Full Name
*
First Name
Last Name
Company Name:
*
E-mail
*
example@example.com
Phone Number
*
Number of Mulligans Purchased:
1 for $5.00 or $3.00 for $10
Number of Raffle Tickets Purchased:
$10.00/ Ticker
Which Raffle would you like to purchase raffle tickets for:
Please Select
Meat Bundle $200.00+ Value
Golfing Accessories' $200.00 + Value
Do you have a team already?
Yes
No
How will payment be received?
Cash- Mail to Jason Mock 6910 E. 14th St, Tulsa, OK. 74112
Invoice
Check- check should be made out to "IRWA Chapter 33" please mail to Jason Mock at above address
Submit
Should be Empty: