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2011 Golf Registration Form

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2011 Golf Registration Form Powered By Docstoc
					                         The Alpha Alpha Chapter of Gamma Iota Sigma
                                           invites you to our
                              21st Annual Four-Person Golf Scramble
                                     Friday, September 23, 2011
               9:00 a.m. Registration, 10:00 a.m. Shotgun, 4:00 pm Reception & Prizes
       To bring insurance alumni, students, and professionals together for golf, food, and FUN!
                                            The Medalist Golf Club
           The Medalist Golf Club, 15701 N. Drive North, Marshall, MI 49068. Phone-269.789.4653
      Entry Fee includes: 18 holes of Golf – Golf Cart – Continental Breakfast – Lunch – Dinner and Prizes
   Proceeds used to fund the activities of Gamma Iota Sigma – educational tours, career workshops, recruiting
                                         DEADLINE AUGUST 31, 2011!!!
           Please sign-up your four-person team or sign-up individually and we'll assign you to a team
Please fill in the appropriate boxes below:
                                                                                                                OC Grad?
Captain/Contact Person:
                                                                                                                Year:
Telephone:
Email Address:
Company/Organization:
Complete Mailing Address:
                                                                                                                OC Grad?
Team Member Name:
                                                                                                                Year:
                                                                                                                OC Grad?
Team Member Name:
                                                                                                                Year:
                                                                                                                OC Grad?
Team Member Name:
                                                                                                                Year:

Please check the appropriate boxes below:
□ Our team would like a Gamma Iota Sigma student member to be part of our foursome
□ Our organization would like to sponsor a hole; Name to appear on sign:
□ I am already sponsoring a hole as part of this year's Gamma Iota Sigma solicitation
□ Please add my donation to the Gamma Iota Sigma Alumni Hole sponsorship
□ Our company/organization will bring door prizes
□ Sorry, I'm unable to attend this year, but want to make a tax deductible contribution to Gamma Iota Sigma
□ Individual Registration $150                       □ Foursome Registration $600
□ Hole Sponsorship $250                              □ Save $50 - Foursome & Hole Sponsorship $800
Total Amount Enclosed: $
    Please let us know if your organization matches individual donations, and provide the appropriate form if available.
             Please refer to http://web.olivetcollege.edu/gis for more information on our 2011 Golf Outing and
                         http://www.themedalist.com/?page=17816 for directions to the golf course.
                                 Please make checks payable to Olivet College and mail to:
           Risk Management & Insurance Center at Olivet College, 320 South Main Street, Olivet, MI 49076
                      Attn: Marie Steele, Risk Management & Insurance Center Administrator or
                                     Fax your credit card information to 269-749-7185

                             ___American Express ___Discover ___MasterCard ___Visa
Card Number:_______________________________ Expiration Date:_______ Security Code (back of card):________

Signature:________________________________________                          Amount to be Charged: $_____________

              Questions? Please call 269-749-6605 or email Tim Puffer at tpuffer@olivetcollege.edu
                                         Thank you for your support!

				
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