Team Registration

Contact:  ________________________  Phone:  ______________   Email:  _____________________________
    Names:  _______________________             _______________________ 
                    _______________________              _______________________ 

Preferred Tee Time:    8:00 am ___       1:00 pm ___

Please fax or mail this form to Charlie Kirk, 100 Saddle Ridge, Portage, WI  53901.

Fax (608) 742-7176                                 Please respond by July 19th