The Captiola Public Safety Foundation

Online Entry Form for Golf Tournament
(enter your foursome or register individually)

Golfer #1 :

Name

Handicap Shirt Size

Golfer #2 :

Name

Handicap Shirt Size

Golfer #3 :

Name

Handicap Shirt Size

Golfer #4 :

Name

Handicap Shirt Size

Luncheon only name(s)

Entry fee total (@ $140.00)

Luncheon only total (@ $20.00)

Contact E-Mail:

Company or Organization:

Street Address:

City, State, Zip:

Phone:

Would you like to pay by credit card? We'll contact you.

Comments:

ENTRY DEADLINE: All entry forms and checks
must be received by August 6th, 2007
To enter, submit this entry as soon as possible
IF NOT PAYING BY CREDIT CARD, YOU MUST MAIL A CHECK PAYABLE TO CPSF

MAILING ADDRESS
Capitola Public Safety Foundation - Golf Tournament
1840 41st Avenue Suite 205
Capitola, CA 95010

YOUR ENTRY WILL BE PROCESSED
WHEN PAYMENT IS RECEIVED