Welcome to the Southwest Chemical Association


Golf Outing Registration by Credit Card

Price Per Person
(Members may now invite up to seven guests to make two foursomes)


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.

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Select which function you will and/or your guest(s) will attend?


How many guests will attend?
(DO NOT INCLUDE YOURSELF AS A GUEST)



Add Mulligans? - max two (2) per player


Sponsor a Hole(s)?




Total amount to be charged:
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

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