4th Annual IES Tim Carnes Memorial Golf Tournament
Wednesday, October 13, 2004
Shotgun Start @ 9:00AM
Old Orchard Golf Course
REGISTRATION FORM

PLAYER #1 - TEAM CAPTAIN

Name

Company

Work Phone

 

Fax

E-mail

 

Player #1 - Handicap or Average Score

 

TEAM MEMBERS - 4 MAN TEAM  

Name

Handicap or Average Score

Other Comments               (include preferred partners if not a foursome)
 

PAYMENT INFORMATION - Cost is $80.00 per person
Payment Method
Credit Card # (leave blank if mailing check))
Expiration Date
Name on Card (if different than Team Captain)
Amount to be mailed or charged   $

 

Or mail a check to:  Jeff Drury - IES Golf Tournament; 1227 Emeral Green Lane; Houston, Texas 77094.  Make checks payable to "San Jacinto IES".   Note reservation is not confirmed until payment is received.  Space is limited to the first 72 players.  Confirmation will be sent via e-mail or fax to Team Captain.