Our Lady of the Sacred Heart Academy

 O.L.S.H.A.          Return Home       www.olsha.org

3218 11th Street, Rockford, IL. 61109 (815) 399-3021 / Fax (815) 399-3073

Charity Golf Outing    Friday, June 13th 2008

Our Lady of the Sacred Heart Academy is having their 7th

 Annual Golf Outing at Aldeen Golf Club in Rockford.

Shotgun Start 10:00 AM

Registration Form (Print - Fill Out & Mail ASAP)

 Name   ______________________________________________________

 # of Golfers    __________________     (Why not reserve a foursome!)

        Golfer #1  ________________________    Golfer #3  _________________________

         Golfer #2  _______________________    Golfer #4  ___________________________

Phone    ___________________  E-Mail   _______________________________

 Cost per person is $100.00 due Monday, June 9th 2008

Includes 18 holes, cart, box lunch, dinner, unlimited beverages, prizes and much more!

q       I cannot attend this Charity Golf Outing this time but would like to make a

contribution of  $100 ______  $75 ______ $50 ______ $25 ______ Other $ ______

 q       I would like to sponsor (personal or business) a golf hole for $150.00 (signs will be

randomly placed on a first come-first served basis)  # of holes ____ x $150 = ______

q       I would like to purchase a reverse raffle ticket(s), (1-100) @ $20 per ticket  $______

q     I would like to reserve the following numbers: # _____________________________

q       I would like to attend the dinner only:  $25 ______ (single)  $40 ______ (couple)

Payment is enclosed:  # of golfers  _____  x  $100  =  $_________      Donation $ __________

Credit Card (Visa/Master Card): # _________________________________ Expires:________ 

Amount of charge: $ _______________      Name on card:___________________________

Billing address:______________________________________________________________

Make your tax-deductible donation payable to Our Lady of the Sacred Heart Academy.

If you have any questions, please contact

Mark Chambers @ (815) 873-1771 / (708) 287-8498

or Matt Adas @ (815) 399-3021 FAX (815) 399-3073

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