Annual Henry Elrod Memorial Golf Tournament
Registration Form
Registration Fee: $85
(Platinum Superbooster includes 2 Players at no charge)
Company/Utility Name:
E-mail Address:
Player Name:
  Average Score: Shirt Size:
Platinum Superboosters includes registration for 2 Players
Player 2 Name:
  Average Score: Shirt Size:
Sponsorship Fee: $200
(Platinum and Gold Superbooster includes hole sponsorship fee)
Hole Sponsorship:
Name as it should appear on sign:
Total Due: $
 Pay by credit card  Credit Cards
Pay Later
Credit Card Information
First Name As it appears on card
Last Name As it appears on card
Billing Address
Billing City
Billing State
Billing Zip Code
Card Type
Card Number Enter number without spaces
Expiration Date mm/yy
Amount of Payment $
Do you want a receipt? Yes  No
E-mail Address