Conejo Free Clinic Fall Classic Golf Tournament - October 13, 2008
Please print and FAX
or mail your completed entry form
to the address at the bottom of this page.
Entry Fees and Sponsorship: (select the package(s) of your choice)
 |
Foursome Package - $800 | |
__________ Guest Dinner(s) @ $30 each | |
|
Individual Package - $400 |
|
Contact me about donating an auction item. |
|
|
Individual Player - $200 | |
Tee or Green Sponsor - $250 ($200 with any package) Name on sign:________________________________ |
|
| Total enclosed:______________ | ||||
| Name: _________________________________________________________________________
________________________________________________________________________________ |
|
| Phone #:_________________________________________________________________________ | |
| E-mail address:___________________________________________________________________ | |
Mastercard or Visa # ____________________________________ |
Expiration:_______________ |
| Name on Card:____________________________________________________________________ | |
| Signature:________________________________________________________________________ | |
Please FAX or mail your completed form to:
Conejo Free Clinic
80 East Hillcrest Drive, #102
Thousand Oaks, Ca. 91360
Phone: (805) 379-1918
FAX: (805) 497-4099