Friday
October 5th, 11am - 9pm
Peacock Gap Golf Club
Player 1 Full Name
*
First Name
Last Name
2nd Player or Patron
First Name
Last Name
3rd Player or Patron
First Name
Last Name
4th Player or Patron
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Golfers/ Dinners/ Donations
Player/s
$
150.00
Quantity
1
2
3
4
5
6
7
8
9
10
VIP - Includes 1 Foursome + extras!
$
1,000.00
Quantity
1
2
3
4
5
Adult Dinner & Dancing Only
$
30.00
Quantity
1
2
3
4
5
6
7
8
9
10
Kids Dinner & Games
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Tee Sponsor
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
Elks 1108 Donation
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
1 RAFFLE TICKET
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
6 RAFFLE TIX
$
100.00
Quantity
1
2
3
4
5
6
7
8
9
10
Total
$
0.00
Tee Sponsor Name/ Company
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