IRCA Annual Golf Outing
6/18/2008
Ulen Country Club
100 Country Club Drive
Lebanon, IN  46052
Phone: 765-482-3480
www.ulencc.com

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.
PO Box 26057
Indianapolis, IN  46226

Person Completing this form:

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(Download Credit Card Acceptance Form)

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)

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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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Player 4

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