Perry County Humane Society

Perry County Humane Society's

3rd Annual

Puttin' for Pets

*To Be Announced in 2012*

Location:

Red Hawk Golf Club
6204 State Route 154
Tamaroa, IL 62888
(618) 357-8712

Entry Fee:

$200.00 per Team
or
$50 per Player
Player One:
Name________________________________
Address______________________________
City_________________________________
Zip___________Member______Guest______
Player Two:
Name________________________________
Address______________________________
City_________________________________
Zip___________Member______Guest______
Player Three:
Name________________________________
Address______________________________
City_________________________________
Zip___________Member______Guest______
Player Four:
Name________________________________
Address______________________________
City_________________________________
Zip___________Member______Guest______
Please Print this Form and Mail it,
Along with Payment to:

*To Be Announced*
Thank You for Your Participation!