Player One        Handicap

E-Mail   

Player Two        Handicap

E-Mail   

Player Three        Handicap

E-Mail   

Player Four        Handicap

E-Mail   

Player Five        Handicap

E-Mail   

Player Six        Handicap

E-Mail   

Player Seven        Handicap

E-Mail   

Player Eight        Handicap

E-Mail   

(Team Entry of $130.00 per player) If submitted before July 31st, please mail a $260.00 per team non refundable deposit .  If deposit is submitted after August 1st, please send a $520.00 non refundable deposit to:

Governors Run

3300 Governors Drive

Carlyle, IL  62231

Or

You may pay deposit by credit card:

Name on Card   

VISA    MASTERCARD    DISCOVER

Card Number   

Expiration         Month    January February March April May June July August September October November December     Year