BIG I PAC GOLF TOURNAMENT
5th Annual Big I PAC Golf Tournament
Tuesday, September 14, 2004
Prattville Country Club
Prattville, Alabama
CREDIT CARD REGISTRATION FORM

Such a hit, We’re doing it again!
The passage of the Model License Bill demonstrates our ability as an independent insurance association to shape Alabama law. This election year brings new challenges. Judical races are more important than ever and candidates sympathetic to our cause need our support. The purpose of this event is to raise $20,000 for the BIG I PAC so we can maintain our voice on Capitol Hill in Montgomery. It is imperative that you come play a round with us at the Prattville Country Club in Prattville.You are encouraged to bring your local legislators; this is the perfect time to get acquainted and to pitch your business interests. Opportunities are available for donations and sponsorships.
PRIZES
Grand Prize Winners Morning & Afternoon A-Div B-Div
1st Prize $800 $500
2nd Prize $600 $300
3rd Prize $400 $200
(Flighted After Play)
Straightest Drive $100
Closest to Hole $100
Four Par 3 Holes
Your donation wins a chance on:
Hole-In-One $10,000
Land on Green Golf balls
Land in Circle Double your Dollars!
If you play in both the AM and PM rounds, you can only try once
for the Hole-In-0ne due to provider rules.
Registrant Information:
Name:..........
Company Name:..
Address:.......
City:..........
State:.........
Zip Code:......
Phone Number:..
Fax  Number:...
Email Address:.

Indicate Tee Time: AM PM
NOTE: Tee times filled on first come, first serve basis.
When P.M. is full, teams will move to A.M. spots. We
would appreciate those within 60-75 miles of Prattville to
play in the A.M. if possible.
I Will Sponser A foursome: AM $400 PM $500
Name(s)Players
Player1 Name: 
Player2 Name: 
Player3 Name: 
Player4 Name: 

Individual Player :AM $100 PM $125
Player Name: 

Reception only    :$100 
Name: 


Please type Name exactly as it appears on credit card:




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