Welcome to the Southwest Chemical Association


Golf Outing Registration by Credit Card

Price Per Person
(Members may now invite up to three guests to make a foursome)


Golf, Lunch, Cocktails & Dinner:   $160
- or -
Cocktails & Dinner Only:   $25
- and -
Add Mulligans to your payment of $10 each (max two per player)

If your company would like to SPONSOR A HOLE at the outing, please indicate below.

<% ret = InsertFP (loginid, txnkey, amount, sequence) %>

Amount to be charged: <= including Mulligans & Hole Sponsorships
Name on Credit Card:

First Name on Credit Card:
Last Name on Credit Card:


Member

Members Name       Members Company
Business Phone        eMail Address

Playing Golf    Handicap:    Not playing Golf    Attending Awards Dinner
____________________________________________________________________________


Guest #1

Guest's Name       Attendees Company
Business Phone     eMail Address

Playing Golf    Handicap:    Not playing Golf    Attending Awards Dinner
____________________________________________________________________________


Guest #2

Guest's Name       Attendees Company
Business Phone     eMail Address

Playing Golf    Handicap:    Not playing Golf    Attending Awards Dinner
____________________________________________________________________________


Guest #3

Guest's Name       Attendees Company
Business Phone     eMail Address

Playing Golf    Handicap:    Not playing Golf    Attending Awards Dinner
____________________________________________________________________________


Guest #4

Guest's Name       Attendees Company
Business Phone     eMail Address

Playing Golf    Handicap:    Not playing Golf    Attending Awards Dinner
____________________________________________________________________________


Guest #5

Guest's Name       Attendees Company
Business Phone     eMail Address

Playing Golf    Handicap:    Not playing Golf    Attending Awards Dinner
____________________________________________________________________________


Guest #6

Guest's Name       Attendees Company
Business Phone     eMail Address

Playing Golf    Handicap:    Not playing Golf    Attending Awards Dinner
____________________________________________________________________________


Guest #7

Guest's Name       Attendees Company
Business Phone     eMail Address

Playing Golf    Handicap:    Not playing Golf    Attending Awards Dinner


Notes and Comments to Event Chairperson
Hole Sponsorship

One Hole $300.00

     Three Holes $600.00

Course Preference
First Choice
   Lake
   Island
   Marsh
Please enter your foursome information below:
Second Choice
   Lake
   Island
   Marsh
Please enter your foursome information below: