Golf Outing Registration

Name:                                                  

Address:                                                

City:                                                      

State                                                     

Zip Code:                                              

The outing will be a 4-man scramble format.  Please indicate whether or not you have a full team or if you need to be placed
on a team.  If you are getting dinner only please specify.

Team or Individual                              

If a Team, please indicate the other members of the team below.

Golfer #1                                              

Golfer #2                                              

Golfer #3                                              

Golfer #4                                              

Amount Paid                                        

Please indicate your choice of dinner (Chicken or Steak):                          

All registration and money must be turned it by July 26^th , 2008

All checks can be made out to Pedal-With-Pete.

 Please send your registration and money to the following Address:

Pedal-With-Pete

P.O. Box 274

Kent, OH 44240

If you have any questions please contact Todd Blevins

@ 330-867-2336 or tblevins78@yahoo.com