2004                     2013 Marshall University          

Scramble                                                  

                                      SCRAMBLE 4 H.E.L.P.

                                             Annual Fall Scholarship Golf Tournament

                                                                Friday, October 4, 2013

     

                                                 Riviera Country Club

                                                               Lesage, WV

                                           

                                                           Chairperson: Rod Duncan

 

Yes! I want to HELP!  Sign me up for the SCRAMBLE 4 H.E.L.P. 

Please complete and submit the form

                                                                

 

Last Name           Middle Name            

 

First Name    

 

Address         State

 

City                  Zip   Contact Person

 

List players and/or Tee/Green sign information below.

Name of Golfer (s) Playing                                                                                                               USGA Handicap

1.     

2.      

3.   

4.      

5.  

 

                          
1.     

2.      

3.   

4.      

5.   

 

 

(Entry fees are tax-deductible as allowed by law)

 

Corporate Sponsorship fee for $525.00: Includes Tee/Green sign and four players.

Tee/Green Sign Sponsorship only for $150.00

Individual Player Entry for $100.00 ($400/foursome)

*11:00 a.m. Registration begins   * Noon Putting Contest   *1 p.m. Shotgun Start

All sponsorships include greens fee, electric carts, lunch, refreshments (on course), and prizes.  Dinner will begin as players complete course.

* Please include $15.00 for each non-golfing guest who will be attending the dinner.

* Because this is a fundraising event, no refunds or rain date will be provided.

   Thank you for your time and support of LD students at MU. You play a vital role in the   

   success of the students. You do make a big difference!  See you on October 7th and THANKS!

 

Please check which method you prefer:

My Check  will be mailed immediately.

Please mail to:

Diana Porter, Treasurer

Scramble 4 H.E.L.P.

Myers Hall

520 18th Street

Huntington, WV 25703

Tel: 304-696-5220 or 6311

Fax: 304-696-3231

I will give the Business Manager my credit card number by calling (304)696-5220.

My credit card is Visa Master Card  Expiration Date : Month Year

 The name that appears on the credit card is

 

Sorry, I cannot attend, but I would like to sponsor a student

to play!

I would like to make a donation to the H.E.L.P. Scholarship Fund.