All proceeds benefit the

LIONS OF ILLINOIS FOUNDATION

LOW VISION PROGRAM

 

SATURDAY, AUGUST 6, 2005

 

Railside Golf Club, Gibson City, Illinois

Lunch at 11:30 A.M.

Shotgun Start at 12:30 P.M.

$70.00 per Golfer – 4 Golfers per team

 

 

INCENTIVES - 2 FLIGHTS (A & B)

FIRST AND SECOND PLACE PRIZES WILL BE AWARDED TO EACH TEAM.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GOLFER REGISTRATION FORM

Please complete and return this form by July 15, 2005

CLUB NAME: ________________________________________________________________

 

CONTACT PERSON: _______________________________________________________

 

ADDRESS: ___________________________________________________________________

 

CITY, STATE AND ZIP: _____________________________________________________

 

DAYTIME PHONE NUMBER: (_______) __________ - _____________________

 

 

NAMES OF GOLFERS:

($70.00 per golfer/$280.00 per team, unless Club/Team is a Platinum Sponsor)

 

1.  _____________________________________________   2. ______________________________________________

 

3. _____________________________________________   4. ______________________________________________

 

 

 

YOUR $280.00 TEAM REGISTRATION FEE WILL INCLUDE:

 

A Round of Golf       Golf Cart           Lunch

Free Beer and Soda on the Course        Dinner  Prizes

 

Make Checks Payable to: LIONS OF ILLINOIS FOUNDATION GOLF CLASSIC

 

And Mail to:             LIONS OF ILLINOIS FOUNDATION

                        2814 DeKALB AVENUE

SYCAMORE, ILLINOIS 60178

        ATTN.:  MARIO GUMINO