Annual PAC Golf Outing 2024

IHCA PAC/The Center-PAC Annual Golf Outing
September 9, 2024
WeaverRidge Golf Club
5100 N. WeaverRidge Blvd.
Peoria, IL 61615

Registration fees include greens fees,
lunch and drinks!

$175 individual | $600 foursome
Company Name
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Registration Fees

Individual

$175.00

Foursome

$600.00

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Please include the following individuals in my foursome:
Name

First NameLast Name
Name

First NameLast Name
Name

First NameLast Name
Name

First NameLast Name
Should be Empty: