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

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Player names:                                                                      
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Contact:   name: ________________________________

Address:   ______________________________________

   Phone:_________________________________________       

Make checks payable to Ansar Shrine
attn: golf outing

Mail entry blanks to
630 South 6th Street Springfield, Illinois 62701