CIA 2010 Golf Scramble Registration   

Thanks for your interest in the Golf Scramble. The particulars:
  • What:  18 Holes Golf, Cart, breakfast, lunch, and buffet dinner
  • When:  Wednesday, September 15, 2010
    • 8:00 am Tee-Off Breakfast
    • 9:00 am Shotgun Start
    • Lunch on the Turn
    • 3:00 pm Buffet Dinner
    • Silent and live auctions
  • Where:  Fountains Golf Club in Clarkston
  • Registration fee:  $125 or $100 per person before August 1, 2010
  • Full Program Announcement    

Registration  If less than 4 on this registration, list others you'd like to be with that are registering separately:
First Name Last Name Telephone Street Addr, City, State, ZIP Men's Shirt Size 
1 *
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S   M   L  
XL   XXL  
2
,
S   M   L  
XL   XXL  
3
,
S   M   L  
XL   XXL  
4
,
S   M   L  
XL   XXL  
   * - Contact person for this registration, all information is required.

   Payment
For a confirmation e-mail of this registration and additional information before the event, please include your email address (required):

Your Email Address:  

To be a CIA Sponsor or to make an additional Donation to CIA, please identify yourself above and enter a dollar amount - you will be contacted.  Thanks.      

    To:  Christmas in Action of Oakland County
           PO Box 300324
           Waterford, Michigan 48330-0324  

    Check Memo: 2010 Golf Scramble - Your Name
 -- OR --
 
           
   Credit Card or Direct Withdrawal

Go to the CIA Oakland main page.