1. 2nd
Annual
Emma Durham
Golf Scramble
A Fund-Raising Event for the
Emma Durham Foundation, Inc.
Weissinger Hills Golf Course
2240 Mt. Eden Road
Shelbyville, KY 40065
Saturday, June 27
Shotgun Start 1:30 p.m.
TEAM ENTRY FORM
Registration Deadline: Monday, June 4th
Contact Person: _______________________________________________________________
Address: _____________________________________________________________________
City and Zip: _________________________________________________________________
Contact Phone #:______________________________________________________________
E-mail Address: _______________________________________________________________
2 Chances at winning $10,000.00 in a hole- in- one contest.
1st Place Prize: $400.00 2nd Place Prize: $200.00 3rd Place Prize: $100.00
Please make check
payable and mail
COSTS:
$300.00 per Team $_________(includes range, cart and lunch)
$75.00 Individual $________ (includes range cart and lunch)
$20.00 Package $__________(includes 1 Mulligan, 1 Putting
Contest, 1 Skirt, 1 Raffle and all hole-in-ones)
TOTAL DUE: $___________
Emma Durham
Golf Scramble
205 Hillview Drive
Shelbyville, KY 40065
502-321-2083
Please send in form and check by 6/04/2015