Check ONE
Individual Golfer___ $50
Team of 4 Golfers___ $200
Hole Sponsor___$100
Tournament Sponsor___ (list amount)______________________________
Golfer Name
(1)____________________________________________________________________________
Contact Information _______________________________________________________________________________
_______________________________________________________________________________
Golfer Name
(2)____________________________________________________________________________
Contact Information _______________________________________________________________________________
_______________________________________________________________________________
Golfer Name
(3)____________________________________________________________________________
Contact Information _______________________________________________________________________________
_______________________________________________________________________________
Golfer Name
(4)____________________________________________________________________________
Contact Information _______________________________________________________________________________
_______________________________________________________________________________
PRINT out FORM and mail with your check made payable to:
The LAAC
and send it to
The LAAC, PO Box 472, Lewisville, NC 27023
POSTMARK by: October 20, 2009