[Return to Lekotek Golf Main Page]
Lekotek
Golf Classic
2010 Registration Form
___ Single .....$175
___ Team ......$600
___ Sponsor Level: ________________________________________
___ Putting Contest @ 3/$10: _______________________________
___ Mulligans @
3/$25: _____________________________________
(includes 5 raffle tickets)
Total Enclosed:
___________________
Golfer #1: ______________________________________________
Address: ________________________________________________
________________________________________________
Email: ___________________________________________________
Handicap:
__________ Ph: _________________________________
Golfer #2: ______________________________________________
Address: ________________________________________________
________________________________________________
Email: ___________________________________________________
Handicap:
__________ Ph: _________________________________
Golfer #3: ______________________________________________
Address: ________________________________________________
________________________________________________
Email: ___________________________________________________
Handicap:
__________ Ph: _________________________________
Golfer #4: ______________________________________________
Address: ________________________________________________
________________________________________________
Email: ___________________________________________________
Handicap: __________ Ph: _________________________________
Please return with check payable to:
Lekotek of Georgia
1955 Cliff Valley Way, Ste 102
Atlanta, GA 30329
Ph: 404.633.3430 Fx: 404.633.1242