IRCA Annual Golf Outing
6/24/2009
Purgatory Golf Club

12160 E. 216th Street
Noblesville IN 46060
317-776-4653

Banker's Handicap Format

Prizes Include:

Longest Drive
Closest to the Pin

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Download Credit Card Acceptance Form

 

For Information about the IRCA Golf Outing Contact:
Ed Reeve , Reeve Roofing LLC
Phone: 317-660-6264
Email: ereeve@reeveroofing.com

Please complete the form below.

Please Answer Yes to the Ready to Submit? when you have completed your form.

***Payment Due Prior to Event***

***Open to Members in Good Standing***

Mail your payment to:

Indiana Roofing Contractors Association
c/o Henry C. Smither Roofing Co. Inc.
6850 E. 32nd Street
Indianapolis, IN  46226

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We Now Accept Major Credit Cards For Payment

Comments

 

Please Enter Quantity for Each Item Selected:

 

(Qty) Lunch, Golf, and Dinner ($125.00)

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(Qty) Lunch Only ($15.00)

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(Qty) Dinner Only ($35.00)

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(Qty) Drink Tickets ($3.00 Each) 2 Tickets Included With Golf Registration

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(Qty) Tee Sponsor ($150.00)

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($ Amount or Item (s)) Prize Donation

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LISTING OF FOURSOME MEMBERS

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Player 2

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Player 3

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