North Metro Pediatrics First Annual Golf Classic

Golf Tournament Registration Form
			June 16th 2008 North Metro Pediatrics First Annual Golf Classic Midland Hills Golf Club Registration Form

Early Registration is $190 per person! After May 15th, the entry fee is $200. Includes green fee, golf cart, lunch, dinner, door prizes, and more! Lunch will be served at 11:30 a.m. Tournament play begins with a shotgun start at 1:00 p.m. There is limited availability, so sign up today!

Full Name
Organization
Mailing Address
City	State	Zip
Phone		Email

Golf and Dinner (includes lunch) $190 per person before May 16th $200 per person May 16th and later		Preferred Foursome If you have a group or player you would like to play with, please list their full names below. Otherwise, teams will be assigned.
Number of Golfers		1.
Total amount $		2.
		3.
Dinner Only $56 per person		4.
Number of Guests
Total amount $

Pay by Check

Print and send this form with your check to:

North Metro Pediatrics
9574 Foley Boulevard
Coon Rapids, MN 55433

Pay by Credit Card

Submit your form via e-mail

Then press "Pay with PayPal" button to pay with your credit card or PayPal account.

North Metro Pediatrics 763-783-3722 www.northmetropeds.org