BILL MCPHERSON - TIM MILLSAP MEMORIAL

For out of town entry's Mail money to. Entry must be received no later than 04-Sep-09.
LSI
Attn: Everett Kimball
3718 N Rock Road
Wichita, Ks 67226
316-636-8000
You should still submit this form if at all possible.
 

Don't enter any $ signs in entry form.

 Make checks payable to Everett Kimball

 ENTRY MONEY IS DUE BY 4-SEP-2009 BEFORE 1:30PM

If you have problems signing up with this form print the form and send it to Everett Kimball

First Name   SINGLE PLAYER
Last Name  
ENTRY FEE $13  
GREEN FEE  $18  
1/2 CART FEE $10   OPTIONAL
BIG EGG GAME $5.00   OPTIONAL
SUB TOTAL  
TOTAL  
      THE WELLINGTON CLUB PRO SAID NO BEER IS ALLOWED IN THE CLUBHOUSE.

Created by
Gary Fleck