11^th Annual 

Education and Scholarship Golf Tournament

Indian Creek Golf Club, Covington~Monday, October 11, 2010

Registration: 9:30am–10:30am~Shot Gun Start: 11:00am

Early Registration: 9/30/2010: TEAM: $400 / Individuals: $100

  Teams Paid by June 30th will receive $50 worth of Raffle Tickets

Registration Closes October 1, 2010 

11^h Annual Education and Scholarship Golf Tournament

ENTRY / SPONSOR REGISTRATION FORM

CONTACT NAME:___________________________________PHONE:________________________________________

 TEAM/COMPANY__________________________

REGISTRATION/SPONSORSHIPS:  Please check all that apply

· TEAM:              ____$400 (by paid by 10/1/2010) 

· INDIVIDUAL:    ____$100 (by paid by 10/1/2010)   

· TEE-BOX SPONSOR(Set-up on Tee with your Tent/Table) $250

· GOLF HOLE SIGN (NAME__________________________________)  $100

· REALTOR® SIGN (NAME:__________________________________)  $25

· MULLIGANS 2 for $10 -  1 set  per player# ____ =   $____

· TEE BUSTERS2 for $10 -  1 set per player#____  =  $____

· RAFFLE TICKETS(3 for $5/8 for $10/20 for $20)   $____

  TOTAL REGISTRATION/SPONSORSHIP:      $_________*

HOW CAN I PLAY / PARTICIPATE?  Please make checks payable to EMBOR and remit payment and registration form to: EMBOR P.O. Box 309, Covington, Georgia 30015 or

 Fax (770.787.3758) the registration form to the EMBOR office, and call (770.787.3763)

 to pay via MasterCard** or Visa**.

*Tax Deductible as a Business/Marketing Expense

**3% convenience fee for Credit Card Charges

RAIN DATE: Monday, October 18, 2010

COMMITTEE MEMBER:________________________________DATE:______________________________