# of Raffle Tickets
The Society of Collision Repair Specialists
Missouri / Kansas Chapter
2010 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, September 2, 2010
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
Adams Pointe Golf Club
1601 R.D. Mize Rd.
Blue Springs, MO  64014
(816) 220.3673
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