Golf and Dinner Registration Form

2012 Par 4 Peyton Charity Golf Tournament Registration form
Complete form, please either pay via the Paypal link at the bottom of the form, or mail your check to:
Gloria Elsner
c/o Par 4 Peyton
522 South 94th Place
Milwaukee, WI 53214
Please make checks Payable to "Par 4 Peyton"

Choose One *

Dinner and Raffle Only $30( PLEASE PLACE THE NUMBER OF ATTENDEES, ALONG WITH THE NAMES IN THE COMMENTS BOX) $110 Single/ $440 foursome (Dinner included)

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

TEAM NAME *

Captains Name *

Golfer 2 *

First

Last

Golfer 3 *

First

Last

Golfer 4 *

First

Last

Once you Hit the submit button, you must return to this page for payment. At the bottom, there is a paypal site, unless you are planning on mailing a check. *

Using Paypal to pay Mailing a chack

Comment *

2012 Par 4 Peyton Charity Golf Tournament Registration formComplete form, please either pay via the Paypal link at the bottom of the form, or mail your check to:Gloria Elsnerc/o Par 4 Peyton522 South 94th PlaceMilwaukee, WI 53214Please make checks Payable to "Par 4 Peyton"

2012 Par 4 Peyton Charity Golf Tournament Registration form
Complete form, please either pay via the Paypal link at the bottom of the form, or mail your check to:
Gloria Elsner
c/o Par 4 Peyton
522 South 94th Place
Milwaukee, WI 53214
Please make checks Payable to "Par 4 Peyton"