CHECK-IN:  10:00 AM                     

SHOT-GUN START:  11:00 AM   4 –PERSON

SCRAMBLE

ENTRY FEE:                                      $125.00 per golfer
ENTRY FEE INCLUDES:                  Green Fees, Cart, Lunch, Beverages & Dinner following the tournament.
PRIZES TO BE AWARDED:              Longest Drive, Closest To the Hole, Super Mulligans,
Betting Hole & Hole in One Contest.
TO REGISTER:                                 Complete the Registration Form (below) and return to St. Anselm with payment.
 
Checks made payable to: St. Anselm Golf Classic
 

MAIL: ST. ANSELM CHURCH, 306 ST. MARY

STREET, MADISONVILLE, LA 70447

FAX: (985) 845-3076

EMAIL : office@stanselmmadisonville.org
 
YOU ARE NOT REGISTERED UNTIL WE RECEIVE YOUR REGISTRATION AND PAYMENT .
YOU MAY REGISTER AS A COMPLETE FOURSOME, OR AS ONE, TWO, OR THREE GOLFERS
(WE WILL COMPLETE THE FOURSOME GROUPINGS).
 
NAME                         ADDRESS                                                        PHONE NO.
 
1.                                                                                                                                                      
 
2.                                                                                                                                                      
 
3.                                                                                                                                                      
 
4.                                                                                                                                                      
 

		SPONSORSHIP FORM
	$75 SILVER SPONSOR	Your name will be on Sponsor Board
	$150 GOLD SPONSOR	Your name will be on Individual Sponsor Sign on Course
	$500 CORPORATE SPONSOR	Your name will be on Individual Sponsor Sign at Registration Table
	Prize Donations	Your name will be on our Donor Board

(Sponsorship to read as indicated above)
 
(    )Master Card    (    )Visa    (    )American Express
 
Credit Card Number:         -           -                            -                       Exp. Date                -        Sec. Code:             
 
Amount to be charged:      $                       .00
 
Card holder Name:                                                                                                                                                             Billing Address:                                                                                                                                                                      Signature:
I authorize St. Anselm to charge my card the above amount for the Golf Tournament.

ANY QUESTIONS, CALL:  Angela LeBlanc (985) 789-2035, Varney Prejean (985) 373-3217,
Deacon Jack Glover (985) 373-1566, or the Parish Office (985) 845-7342