ATTENDEE INFORMATION (CONTACT PERSON)
Name Company
Address City/State/Zip
Email Phone
(Note: All conrmation information will be sent to the email address provided on this form.)
I AM REGISTERING q A FOURSOME q INDIVIDUAL PLAYER
Include information for additional golfers. If this information is the same as the attendee information above (you are golfer 1), please
re-enter your information below.
Company
q Lunch q Dinner q Pink Ball Bag
Company
q Lunch q Dinner q Pink Ball Bag
Company
q Lunch q Dinner q Pink Ball Bag
Company
1) Name
Email
2) Name
Email
3) Name
Email
4) Name
Email
q Lunch q Dinner q Pink Ball Bag
Please ll out multiple forms if you have more than one foursome.
PINK BALL BAG: Includes a pink ball (keep it the whole round and be entered into a drawing for chance to win $1,000), an extra prize
ticket, 2 mulligans & a gift: $40 each (Purchase up to 4).
PAYMENT INFORMATION
Total # of golfers ____ x $___________ = $:
Total # of Pink Ball Bags ____
_
x $40 = $:
Total $:
METHOD OF PAYMENT: q Check enclosed (payable to MAPA) q VISA q MasterCard q Discover q American Express
Full payment must accompany to reserve your space. If paying by credit card, all of the following elds are required.
Card Number Expiration Date Security Code
Cardholder Name (print) Cardholder Signature
Email Phone
Billing Addresss City/State/Zip
Cancellation / Refund / No-Show Policy
Please note
that cancellations will ONLY be accepted on or before
August 1, 2020 for a full refund and NO SHOWS will be billed the full
amount.
Consent to Use of Photographic Images
As part of the MAPA Golf Outing, you may be photographed or
recorded on audio and/or video. These items may be used in
promoting future events or in other marketing related to MAPA.
Attendance at this event implies your consent to be photographed or
recorded.
This form can also be lled out at: www.asphaltisbest.com
ATTENDEE REGISTRATION FORM
STAY FLEXIBLE FORE GOLF – 7TH ANNUAL MAPA GOLF OUTING
Bunker Hills Golf Club, 12800 Bunker Prairie Road NW, Coon Rapids, MN
August 10, 2020
Mail form to:
MAPA
1000 Westgate Dr, Suite 252
St. Paul, MN 55114
or fax to: 651-290-2266
SCHEDULE:
10:30 AM Registration / Lunch
12:00 PM Shotgun Start (Scramble)
5:00 PM Dinner To-Go & Door Prizes available for Pickup
COST:
$150.00 per person (before June 24)
$190.00 per person (on or after June 24)
Limited to the first 100 players.
INFO:
Ticket includes lunch, green fee, ½ cart, beer/
soda on the course, dinner to-go, and prizes.
fin.
(For office use only)
initials
date
CK/CC
amt. paid
bal. due
Questions? Please contact us at
651-636-4666 or info@mnapa.org.
If paying by credit card, all elds are required. Per PCI compliance, please do not send credit card information via email to protect your information.
Dietary Restrictions
Staff will do our best to accommodate reasonable dietary restrictions. If you have questions or concerns, please contact the office at info@mnapa.org.
Please select all that apply:
q Allergy (please explain) q Gluten Free q Kosher q Lactose Intolerant q Sugar Free q Vegan q Vegetarian q Other (please explain)
Please explain your (or your guest’s) dietary restriction needs (if applicable):__________________________________________________________________
Accessibility
Pursuant to the Americans with Disabilities Act, do you/your guests require specific aids or services?
q Yes q No If yes, please explain: ________________________
Do you or your guests require accessibility adjustments or services? q Audio q Mobile q Visual
click to sign
signature
click to edit
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