29th Annual Roger Maris Celebrity Golf Tournament
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June 24-25, 2012
Fargo, North Dakota
Please list individual or team members and include ALL information. Indicate current handicap of all team members. All handicaps
will be made current before tee off. Any team found to have a player playing with a lower handicap will be disqualified. Each golfer
will receive 1 ticket to the Celebrity Banquet. Extra tickets may be requested below at $40 each. Please list Team Captain first
on sheet. SEND ONE FORM PER TEAM. To register online after May 1st go to www.rogermarrisgolf.com.
This is a Rain or Shine event and No refunds will be given
* FEES=$250 per person
 
Golfer Sign-up(Individual or Team)
G
o
l
f
e
r
Team Name
Street Address/City/State/Zip
Cell Phone
#
Email Address
Handicap
Home
Course
Phone #
Shirt Size
(M,L,XL,XXL)
Complimentary
Banquet
Tickets
Yes/No
Extra
Banquet
Tickets
@ $40 Each
Total
Golf Fee +
Extra Banquet
Tickets
Team Captain
1 First name:

Last name:
Address:
City:
State:
Zip:
() ()
2 First name:

Last name:
Address:
City:
State:
Zip:
() ()
3 First name:

Last name:
Address:
City:
State:
Zip:
() ()
4 First name:

Last name:
Address:
City:
State:
Zip:
() ()
5 First name:

Last name:
Address:
City:
State:
Zip:
() ()
6 First name:

Last name:
Address:
City:
State:
Zip:
() ()
* If you are requesting a celebrity team, please do not fill in #6 as the celebrity will be the sixth person on your team. Total Amount Due:
Comments:
Tee Time Preference: Inquiries and Information:
OFFICE USE ONLY
Indicate 1st, 2nd, 3rd choice:
  1   2   3
Sunday, June 26 at 7:30 a.m
Monday, June 27 at 7:30 a.m
Monday, June 27 at 1:30 p.m
Any of the above

Contact Janelle Thompson at 701-261-8820 with golf registration questions. 
For information on the tournament, auction and celebrity banquet, visit our website at www.rogermarisgolf.com.

                                          Janelle Thompson
                                          PO Box 978
                                          Moorhead MN 56561

TEAM#__________

SUN     MON AM     MON PM

CELEBRITY      REGULAR

TABLE#__________
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