2010 Washington County Humane Society

Puttin' Four Paws Golf Outing

 

 
Entry Fees: $100/person or $380/foursome
(before May 31st…$400 after June 1st)  


# attending __________


$_______________
Dinner only: $30/person


# attending __________


$_______________
$100 Hole Sponsorship


$_______________


Company Name: __________________________________________________________________   

Address:  _______________________________________________________________________

City/Zip:  ___________________________________________________________

 

Name(s)

Phone #
1. __________________________________      _____________________________________
2. __________________________________      _____________________________________
3. __________________________________      _____________________________________
4. __________________________________      _____________________________________

Method of Payment:  q Check     q Master Card     q Visa      Exp. Date:  _____________

Credit Card #:                                 ______   _      Security Code (back of card): __________

Signature:                                                             ____________________________      

 

Return completed form and payment to:
The Washington County Humane Society
Attn: Golf Outing
3650 State Road 60
Slinger, WI  53086
 

Phone: 262-677-4388 | Fax: 262-677-0388 | E-mail: humane@washingtoncountyhumane.org