Indiana Kentucky ERA – Event Registration Form

EVENT: Indiana-Kentucky ERA Summer Golf Event

DATE: Thursday, August 14

TIME:
8:00 – 8:45 a.m. — Registration
9 a.m. — Shotgun start
1 p.m. — Lunch and Awards

LOCATION:
Golf Club of Indiana
6905 S 525 E
Lebanon, IN 46052

RSVP below by filling out the form and submitting your secure, online payment.

Main Contact Name *

First

Last

Company Name *

Email Address *

Phone Number *

Is your company an ERA member? *

• Yes
• No

Hole Sponsorship? If YES is selected, $100 will be added to your total. *— Select Choice —Yes – $100.00No, thank you. – $0.00

Select the Correct Registration Level and Quantity: *— Select Choice —Lunch Only – $25.00Single Golfer – $100.00One (1) Foursome – $350.00012345678910

LUNCH-ONLY NAMES (if applicable):

SINGLE PLAYER NAME or NAMES (if applicable):

ENTER FOURSOME NAMES HERE: (if applicable)

ENTER FOURSOME #2 NAMES HERE: (if applicable)

ENTER FOURSOME #3 NAMES HERE: (if applicable)

ENTER FOURSOME #4 NAMES HERE: (if applicable)

Because you registered for a foursome or foursomes, you have the opportunity to buy a yardstick for $10 and a set of 5 mulligans for $20. If you'd like to purchase these, select the appropriate option from the dropdown menu below. (Only one yardstick and one set of mulligans per foursome, please.)SELECT – $0.00No, thank you. – $0.001 Yardstick + 1 Set of 5 Mulligans – $30.002 Yardsticks + 2 Sets of Mulligans – $60.003 Yardsticks + 3 Sets of Mulligans – $90.004 Yardsticks + 4 Sets of Mulligans – $120.00

Credit Card *

Card

Name on Card

Total

$0.00

Submit