PEBBLE CREEK MEN'S CLUB GUEST DAY presented by STARCOR Credit Union

Registration Form

27 Hole - 2 Man Golf Event Pebble Creek Golf Club Becker, MN

Lunch Available starting at 11am.  Shotgun start Noon, Wednesday  June 18, 2008

I am registering as a team

Player Name __________________________        Partner Name _________________________

Phone # (_____)______-_________                          Phone # (_____)______-_________

Email address _________________________      Email address _________________________

Ghin or equivalent # ____________________        Ghin or equivalent # ____________________

Handicap Index  ___________                                    Handicap Index  ___________

Pebble Creek Men's Club Members may play with up to 3 teams provided all three teams are member/guest.

Member pays $20 for each additional team beyond one to be on another team.

Additional Players:

Player Name __________________________     Player Name _________________________

Phone # (_____)______-_________                       Phone # (_____)______-_________

Email address _________________________    Email address _________________________

Ghin or equivalent # ____________________      Ghin or equivalent # ____________________

Handicap Index  ___________                                  Handicap Index  ___________

Fill out next section only if you don't have a golf handicap

My last three 18 hole scores are _____, _____, ______      My last three 18 hole scores are _____, _____, ______

_____    is my average score                                                _____    is my average score

I am registering as an individual. Please match me up with a partner

Member Name _________________________________

GHIN or equivalent # ____________________________

Phone    _________________________________

Handicap Index    ___________________

Email address  _________________________________

Send registration and payment to:

Starcor Open- Pebble Creek Golf Club 14000 Clubhouse Drive Becker, MN 53308

Pay $70 for each player plus $20 for each additional team a member plays on.  Total amount paid _________

Paying by check (Make payable to Pebble Creek)

Paying by Credit Card: Name_______________________________________MC or VISA (circle one)

Credit Card # _____________________________________ Exp Date __________________