13th Annual "Seek A Miracle" Golf Outing Scramble
Sponsored by Holohan Heating and Sheetmetal, Inc.

Benefiting  to Fox Center Santa Visit
Jerry Chouinard Fire Academy Memorial Scholarship Fund
August 6th, 2011^th_<
1:00 Shotgun Start
Minne Monesse Golf Club
Grant Park, IL

* For any questions, contact Shane Holohan @ 932-7711

Yes I want to sponsor a hole at $100/hole (Please respond by July 27th, 2011)

Save $15.00 if signed up for a hole Sponsor by July 1st

Yes I would like to register for golf and dinner $90.00/person

I can't golf, but would like to attend dinner @ $25.00/person

Sign up deadline is July 27th.
Please mail money to Holohan Heating and Sheetmetal, Inc.

Golf and Dinner Reservation Form

*For Golf Entry Fees--Make Checks Payable to "Holohan Heating"
*For Hole Sponsor Fees and Donations--Make checks Payable to the "Ashkum Lions Club / Fox Center Account"

Company

Phone

Name Of Golfer

Name Of Golfer

Name Of Golfer

Name Of Golfer

Donations

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