Memorial Golf Tournament Form


First Name*Last Name*
Company*Address*
ZipeMail Address*
Phone No.*

Please Select Your Registration Choice:

$2000 - Drive a Cure-Title Sponsor $250 - 4 Player Team & Sponsor
$1500 - Putt Cancer in its place $120 - 4 Player Team
$1000 - Wedge Out Cancer $180 - Single Player & Sponsor
$500 - Tee it up for Cancer $40 - Single Player
$500 - Cart Away Cancer $150 - One Hole Sponsor
* Indicates a required field.

Please Submit Payments to:

Pine Ridge Golf Course, 5616 Pine Mill Road, Paris, TX 75462
(903)-785-8076