Please fill out this registration form, print it, and include the form with your check made payable to:

The Randy E. Carpenter Memorial Foundation
PO Box 921
Baker City, OR 97814-0921

All checks must be received by June 5th, 2010 to ensure reservation. Cut off at 36, 4 Man Scramble teams!

9:AM Tee Time - Shotgun Start - Challenge Course at Eagle Crest Golf Course - Redmond Oregon

Thanks to 1-800-BoardUp for their Tournament Sponsorship!

Golf Tournament Cherokee Scramble

9:00am $120.00 per player

Banquet Dinner: (Guest)

After Golf $22.00

Friday Night Poker Tournament

5:00 pm $50.00 Buy in

Poker Tournament Sponsor

$50.00

Hole Sponsor:

$125.00

Team Sponsor: Includes 4 Dinners

$450.00

Be A Tournament Sponsor:

(Bronze)

$200.00

(Silver)

$350.00

(Gold)

$500.00

(Platinum)

$1000.00

(Diamond) (includes One Team Sponsorship)

$2500.00

Company or Station Name:

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Player1

Player 1 Name:

Player 1 Shirt Size

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Player 1 Handicap:

Player2

Player 2 Name:

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Player 2 Phone:

Player 2 Handicap:

Player3

Player 3 Name:

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Player 3 Phone:

Player 3 Handicap:

Player4

Player 4 Name:

Player 4 Shirt Size

Player 4 Phone:

Player 4 Handicap: