TEAM REGISTRATION FORM
"The Classic" at Las Campanas
Las Campanas Golf Club, August 23, 2011

If you do not wish to submit this form you may also download and FAX form to
Erma Sanchez at 505-342-3524 or call 505-342-3504 for information.

Fill out form online | Download/Print Form (PDF)

REQUIRED FIELDS BORDERED IN RED

Please fill out the form below as completely as possible. Remember to submit your email address in the specified field(s) so that we can get back to you. Thank you very much.

ADDITIONAL INFORMATION:
Erma Sanchez Tel: (505) 342-3504 / Fax: 342-3524 / E-mail: eesanchez@premierdistributing.com

Subject:
Email:
Company/Team Name:
Address:	Day Phone:
City:		State:		Zip:
PLAYER LIST
PLAYER #1 (Name):	Handicap:		Shirt Size:
Company:	Day Phone:
Address:	Fax:
City:	State:		Zip:
Email Address:

PLAYER #2 (Name):	Handicap:		Shirt Size:
Company:	Day Phone:
Address:	Fax:
City:	State:		Zip:
Email Address:

PLAYER #3 (Name):	Handicap:		Shirt Size:
Company:	Day Phone:
Address:	Fax:
City:	State:		Zip:
Email Address:

PLAYER #4 (Name):	Handicap:		Shirt Size:
Company:	Day Phone:
Address:	Fax:
City:	State:		Zip:
Email Address: