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Golf Tournament Registration Form

39th Annual Susie Evans Memorial

Golf Tournament
REGISTRATION FORM

Monday, May 20, 2024

Schedule

10:00 AM

Registration & Check-in

11:00 AM

Shotgun/Scramble Start

4:30 PM

Cocktail Hour & Dinner Buffet

(Dinner will be served at the conclusion of the game)

5:30 PM

Tournament Awards & Raffle

LOCATION

Western Hills Country Club
1800 Carbon Canyon Rd.
Chino Hills, CA 91709

PRICING

Early Bird Rate

After April 29th

PER PERSON FOURSOME
$155 $620
$175 $700
MAIN CONTACT

This individual will be the main contact for tournament details. No refunds or cancellations after Monday, May 6th, 2024.

Address

PLAYER LIST

PAYMENT: If paying by check, please attach this form and make payable to: IHACI
CHECK OFF ALL THAT APPLY BELOW AND TOTAL THE AMOUNT TO BE CHARGED:
Payment Options
Payment Options
mulligan(s)
to purchase
Payment Options
Payment Options
Payment Options

CREDIT CARD:

TOTAL AMOUNT TO CHARGE:
MM slash DD slash YYYY

SUBMIT TO EMAIL: s.aguilar@ihaci.org
ADDRESS: 454 W Broadway Glendale, CA 91204

SPECIAL THANKS TO OUR GOLF COMMITTEE: Steve Adams, Ferguson & Bobby Hahn, Pacific Systems Group