Purdue Auxiliaries Benefit Golf Scramble Registration

Fill out and submit this form by September 1

PURDUE AUXILIARIES BENEFIT GOLF SCRAMBLE

Sunday, Sept. 16, 2007 - Ackerman Hills Golf Course

On-Line Registration Form

All golfers participating in this fundraising event for the Purdue Twirlers and Golduster Dancers need to report to Purdue's Ackerman Hills Golf Course at 9 a.m. Sept. 16. Check-in will be at the Voinoff Pavilion.

FILL OUT AND SEND A SEPARATE FORM FOR EACH GOLFER

First Name:		Last Name:
Address:
		e-mail:
City:		State:
ZIP:		Phone:
Playing as a: Single Twosome Threesome Foursome
If there are players other than you in your group, list them here:

COST IS $85 PER PERSON!

Includes lunch and entertainment following the scramble! Prizes awarded!

On-line registrations are not complete until you have sent a check made payable to

Purdue Research Foundation (memo line: Golf Scramble) to cover registration costs.

Send it to Benefit Golf Scramble, Elliott Hall of Music, 712 Third St. , West Lafayette , IN 47907 .

Credit cards not accepted! Receipt by Sept. 1 requested!

IF YOU HAVE QUESTIONS CALL Auxiliaries Director Alisha Kuckartz (765) 463-2361

or email her at alishak@purdue.edu