14th Annual Central Golf Classic Please indicate which tournament(s) r Osage Beach r Jackson Sycamore Creek Golf Course r Front Nine Refreshments (2 free players) $ 750 June 22, 2011 r Back Nine Refreshments (2 free players) $ 750 Highway 54 and Nichols Road r Hole Sponsorship $ 100 Osage Beach, MO r Golf Ball Sponsorship (Lunch courtesy of Tan-Tar-A) r Men’s Longest Drive $ 200 Lunch: 11:00 a.m. r Ladies’ Longest Drive $ 200 Tee Time: 12:00 noon r Closest to Pin (2) $ 100 Deadline: June 15, 2010 r Driving Range $ 200 r Drive Closest to Center Line $ 200 12th Annual r Longest Putt $ 100 r Hole In One Prize __________ Southeast Golf Classic r Other Gift for Players/ Drawing Prize (please indicate item) _______________ Bent Creek Golf Course r Hole Sponsorship & Player Registration ($15 savings) $ 175 July 26, 2011 r Hole Sponsorship & Team Registration ($35 savings) $ 425 2200 Bent Creek Drive Jackson, MO cOMPANY NAME AS IT ShOuld APPEAR ON SIgNAgE - YOu MAY SENd A cOlOR lOgO TO uSE ON ThE SIgN. Lunch: 11:00 a.m. Contact Tee Time: 12:00 noon City/State/Zip Deadline: July 19, 2010 Phone Email Your participation in the golf tournaments may be tax deductible. The Missouri Farm Bureau Foundation for Agriculture has been determined as exempt from Federal Income Tax under Section 501(c)(3) of the Internal Revenue Code. Registration is $90 per player/ per tournament. (Includes cart, green fee, driving range, prizes, team photo, lunch & refreshments on course) PAYMENT OPTIONS: r Payment will be mailed r Payment will be made the day of tournament Please indicate which tournament(s) r Osage Beach r Jackson Name Address City/State/Zip After Hours Tel.# E-mail address Name Address City/State/Zip After Hours Tel.# E-mail address Name Address City/State/Zip After Hours Tel.# E-mail address Name Address City/State/Zip After Hours Tel.# E-mail address r I’m registering individually - please assign me to a team! This form will send your registration information electronically. This process will prompt you to Submit form Foundation for Agriculture print a copy for your records before quitting.