(RAIN DATE - SEPTEMBER 27, 2010)

SHOTGUN START 12:00
Come Early for the Putting Contest from 10:00 - 11:30

Registration Ends at 11:45 AM for 12:00 Start

PRIZES GIVEN AWAY FOR:
Longest Putt ~~ Closest to String ~~ Longest Drive

Dinner - 6:00 p.m.
Camel's Milk available on Course

RESERVATION FORM
POTENTATE'S GOLF SCRAMBLE ~ 2010
(Must have One Shrine Member in each foursome)


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I WILL SPONSOR A FOURSOME

$246.00
[     ] I WANT TO PLAY ~~ PAIR ME WITH A GROUP $65.00
[     ] I CANNOT PLAY BUT WILL SPONSOR A HOLE $50.00

NAMES: ___________________________________

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MAKE CHECKS PAYABLE TO:  HADI'S POTENTATE'S GOLF SCRAMBLE

MAIL CHECK & RESERVATION FORM TO:
BOB KELLEY
5 Lincolnwood Drive
Evansville, IN 47715
Payment must accompany Reservation Form

RESERVATIONS ARE LIMITED TO THE FIRST 120 MEN
RESERVATIONS BY SEPTEMBER 13, 2010 ~~ $65 Before Deadline/ $85 After Deadline
If you have any questions, call Bob Kelley at (812) 479-7499 or 480-0594

DRESS CODE: NO Blue Jeans or Cut Offs ~~ Shirts MUST have Collars