PDF Registration Form - South Central Pennsylvania

SCPEA Spring Golf Outing
June 3rd, 2016 • 12PM Registration • 1PM Shotgun Start • 6PM Dinner
Deer Valley Golf Course
101 Stoudt Rd • Hummelstown, PA
Please indicate number of participants and desired hole sponsorships.
Hole sponsorships are available to companies or individuals.
Foursome with Hole Sponsorship (Save $135!) ........... $350/group
Single Golfer and Dinner _____ ................................................ $90/person
Golf Only _____............................................................................... $70/person
Dinner Only _____ ......................................................................... $35/person
Hole Sponsorship Only _____ ................................................... $125/hole
Golf Outing Highlights
Various prizes include golf clubs,
sports tickets, and gift certificates.
Portion of proceeds donated to:
Total_____________
Name: _____________________________________________________
Company Name:_____________________________________________
Phone: ____________________________________________________
Email: _____________________________________________________
Name for Sponsor Sign(s): _____________________________________
Please fill out, save, and e-mail this flyer to Len Zvorsky at scpea4@gmail.com.
You can also register online at www.southcentralpaenergy.org/2016-spring-golf-outing-registration.
Please make check payable to SCPEA and send to Len Zvorsky • 1265 Tumblestone Drive • Mt. Joy, PA 17552.
Registration must be completed May 27th, 2016
Beverage Cart Sponsorship By: