Professional Documents
Culture Documents
Name: __________________________________________________________________
Company Name: __________________________________________________________
Address: ________________________________________________________________
City: ___________________________________________________________________
Daytime Phone: ___________________________________________________________
E-Mail Address: __________________________________________________________
Handicap: _______________________________________________________________
Cerbat Cliffs Golf Course
1001 Gates Ave
Kingman, AZ 86401
http://www.cerbatcliffsgolf.com/
Questions about registration email bprudham@pleasedgolf.com or call 928.293.5263
For additional information on the Tournament and Charities visit the website at www.pleasedgolf.com
Please list preferred playing partners:
1.______________________________________________________________________
2.______________________________________________________________________
3.______________________________________________________________________
Format
4 Person Scramble: In a scramble, each player tees off on each hole. The best of the tee shots is selected and all
players play their second shots from that spot. The better of the second shots is determined, and then all play their
third shots from that spot, and so on until the ball is holed.
Dinner/Silent Auction Saturday, October 11th at the Historic Central Commercial Building located at 4th
& Beale Street. Cocktails and Silent Auction viewing at 6:00 pm Dinner at 6:30. Dress in Old Hollywood
Style, (ladies) Betty Grable, Rita Hayworth, Joan Crawford and (men) Clark Gabble, Charley Chan, and
John Wayne.
Old Hollywood Dinner/Silent Auction $60.00 ea. ____________________= $_______________________________
Old Hollywood Dinner/Silent Auction $100.00 per couple. ____________________= $________________________
I further agree to indemnify David Sammeli and family, the Sponsors, PLEASED Golf, Inc., Therese Haase,
all Volunteers and Cerbat Cliffs Golf Course and its employees/members of any liability whether implied or
direct. I further understand that it is the intent of the PLEASED Golf sponsors this event in name only.
Enclosed please find check # ___________________ PAYPAL or Credit Card in the amount of
$____________________________________.
(Please make check payable to PLEASED Golf, Inc. and mail to the above address.)
Please charge the following credit card (circle one) or note my online payment:
Visa - MasterCard Discover #______________________________________ CVV#_______________
Signature ____________________________________________________________________________
Print Name___________________________________________________________________________