# of Raffle Tickets
The Society of Collision Repair Specialists
Missouri / Kansas Chapter
2009 Golf Tournament Player Registration
STEP 1: Complete Electronic Golfer Registration Form
INDIVIDUAL OR TEAM CAPTAIN

Name

Company Name

Business Address

City

State

Zip

Business Phone

Mobile Phone

E-Mail Address


TEAMMATE #3  (if applicable)

Name

Company Name

Business Address

City

State

Zip

Business Phone

Mobile Phone

E-Mail Address
TEAMMATE #2   (if applicable)

Name

Company Name

Business Address

City

State

Zip

Business Phone

Mobile Phone

E-Mail Address


TEAMMATE #4  (if applicable)

Name

Company Name

Business Address

City

State

Zip

Business Phone

Mobile Phone

E-Mail Address
STEP 3: Submit Golfer Registration Form
Thursday, June 11, 2009
8:00 am Shotgun Start
ENTRY FEE: $85.00
STEP 2: Choose Method of Payment
Make check payable to SCRS MO-KAN
   P.O. Box 4435
   Kansas City, KS  66104
Sponsor Registration Page
Volunteer Registration Page
The FIRST Chapter of SCRS National
Deer Creek Golf Club
7000 W. 133rd St.
Overland Park, KS  66209
(913) 681.3100
STEP 4: Make Credit Card Payment (if applicable)
Golf Registration

Raffle Tickets
Pay by Check Prior to Tourney
Pay by Check/Cash Day of Tourney
Pay by Credit Card