| ANSAR SHRINE Four-Person GOLF Scramble Monday, August 25, 2008 PIPER GLEN GOLF CLUB 7112 PIPER GLEN DRIVE Springfield, Illinois 62711 Registration 11:00 – 12:00 SHOT GUN START 12:30 Fee $65.00 includes lunch, golf w/cart, prizes and full dinner after golf All are welcome (men & women) All net proceeds go to the support of Ansar Shrine Center Additional info: Robert OITKER P.P. 217-899-0622 Michael Donaker P.P. 217-414-2704 Ansar Shrine Center 217-525-1771 --------------------------------------------------------------------------------------------- Player names: 1________________2_________________ 3________________4_________________ Contact: name: ________________________________ Address: ______________________________________ Phone:_________________________________________ Make checks payable to Ansar Shrine attn: golf outing Mail entry blanks to 630 South 6th Street Springfield, Illinois 62701 |



