8th Annual John Campbell Memorial Golf Classic
Friday, May 12, 2006
2 Shotgun Starts: 8:30 a.m. and 1:30 p.m.
The Country Club of Salisbury 747 Club Drive,
Salisbury, NC 28144

OFFICIAL REGISTRATION FORM
 

  
  Please Enter Your Correct Information Below:
   Create User Name     *Required*  

  Name      Telephone 

  Mailing Address 

  City     State     Zip   

  Golf Handicap or Average Score     Golf Course   

  Email Address   


  If sending a check with your registration, print and mail completed form to:
 RRMC Foundation,
Attention: Monica Wray
130 Mocksville Avenue
    Salisbury, NC 28144-3324
If registering with a credit card, complete info and click "Submit" below.


  Item                                Price                    Number                    Amount

 Player Registration                 $145 Each                                      $   
  ($40 is the tax-deductible charitable gift portion of each entry fee.)

 Please provide the requested information regarding your golf team on the reverse side of this form. Each player registration fee includes one mulligan, one entry for Hole-in-One Contest and one entry for Putting Contest.

 Total Amount  $  

 Please note: *Tee-off time preferences will be accommodated based on availability.

 Please indicate your preferred tee-off time:
   

 All golfers are invited to attend a golfer luncheon on the patio of The Country Club, Salisbury. The 8:30 a.m. flight will be served from 12:30 - 2:00 p.m. The 1:30pm flight will be served from 11:30 - 1:00pm. 
 

 If you are a member of The Country Club of Salisbury, will you be using your personal golf cart? 
 

 Payment Options
 Checks:
 Please make checks payable to RRMC Foundation.
 Send with printout form to RRMC Foundation, 130 Mocksville Avenue Salisbury, NC 28144-3324

 Credit Cards: Visa, Master Card or American Express Only

  Card Type ex. Visa        Card Number      Expiration Date   

                                                                         Retype Card Number  

 Signature  

 Payment must accompany registration. Registrations with payments are processed in the order they are received. Registrations and payments are due by Wednesday, May 3, 2006. For more information, please call the Foundation staff at 704-210-6880 between 8 a.m. and 5 p.m. on weekdays.


 

Golf Foursome Information Please provide the requested information about the other individuals who will play in your foursome. If you prefer, Golf Classic leaders will pair you with others to create a foursome. Each foursome selects a Team Captain who chooses which shot will be played after the team's four tee shots at each hole. Then, each player hits the next shot from the favored position until the hole is finished.

  Player One      Telephone

  Mailing Address

  City    State    Zip 

  Golf Handicap or Average Score    Golf Course 

  Email Address 

  Player Two      Telephone

  Mailing Address 

  City    State    Zip 

  Golf Handicap or Average Score    Golf Course 

  Email Address 

   Player Three      Telephone

  Mailing Address 

  City    State    Zip 

  Golf Handicap or Average Score    Golf Course 

  Email Address 

   Player Four      Telephone

  Mailing Address 

  City    State    Zip 

  Golf Handicap or Average Score    Golf Course 

  Email Address 


                                                                                                             

This site is secure and protects all private information submitted to Rowan Regional Medical Center Foundation.
Credit card information is secured.