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1st Annual
Scholarship Fund Golf Tournament
Golf Entry Form
All Proceeds Benefit
The Pipeliners Club of Oklahoma City Scholarship Fund
Entry Deadline – May 15, 2015
Tournament Date - Monday, June 1, 2015
Lincoln Park Golf Club
4001 NE Grand Blvd ▪ Oklahoma City, OK
The Pipeliners Club of Oklahoma City is requesting your support for this year’s Scholarship Fund Golf Tournament.
Your support of this annual tournament raises funds for The Pipeliners Club of Oklahoma City Scholarship Fund.
Please help us kick start our inaugural golf tournament scholarship effort.
Registration Costs
□
□
Format
Team (4 players) - $600
4 Man Scramble, Par Max
Individual - $150
Includes
Round Preference
□
□
Driving Range, Green Fees, Cart, Lunch, (1)
Door Prize Ticket, (1) Drink Ticket, Swag Bag,
Photos, Awards
Morning – 7:30am start, Lunch at 11am
Afternoon – 1:30pm start, Lunch at 11am
Golfer’s Name
1.
2.
3.
4.
MULLIGANS ($10 each) / limit 2 per player
DOOR PRIZE TICKETS ($5 Each Additional)
GRAND TOTAL
Entry Fee
Email Address (Team Primary Contact) ______________________
Company ______________________________________________
Competitions
Hole in One – Win a New Chevy Truck
Best Team Score
Closest to the Pin
Longest Putt
Longest Drive
Liability Waiver
I assume all risks involved in participating in the Pipeliners Club of
Oklahoma City Golf Tournament and do for myself, my heirs,
executors, administrators, and assignees waive, release, and forever
discharge any and all rights and claims which may have or which
hereafter accrue to me against the Pipeliners Club of Oklahoma City
and Lincoln Park Golf Course, including its officers or members along
with any sponsors and their representatives and successors.
All participants required to sign the liability waiver at the tournament
check-in.
“Payments and/or Sponsorships made to the Pipeliners Club of
Oklahoma City are not deductible as charitable contributions for U.S.
Federal income tax purposes, but may be deductible as a business
expense.”
Billing
Name_________________________________________________
Company ______________________________________________
Address _______________________________________________
Phone _________________ Email ________________________
Payment
□ Check:
□ Credit Card:
Payable To: “The Pipeliners Club of Oklahoma City”
We accept credit cards through our website.:
http://okcpipeliners.org/event-registration/
Round assignments will be made on a first come,
first served basis based on complete (paid) entries.
Please register online OR email/mail your
registration & payment by Friday, May 15, 2015 to:
Alice Mize
615 N. Hudson
Suite 200
Oklahoma City, OK 73102
(405)-200-0312
acmize@burnsmcd.com