Golf Bash Registration
Friday, May 11th, 2011
at Shoreline Golf Course, Carter Lake Iowa
Registration at 9:00
Shotgun Tee-off at 10:00
Space is Limited
Golfer Name:_____________________________________
Golfer Name:_____________________________________
Golfer Name:_____________________________________
Golfer Name:_____________________________________
Address_________________________________________
City/State/Zip____________________________________
Phone (______)________________________
Register for one golfer or 4 some team.
Golf $75.00 per person
One golfer $75 Two $150 Three $225 Four $300
Amount enclosed____________ Check No_______
Mail to:
CBBTA, 1425 9th Ave., Council Bluffs,IA 51501
Questions Call Michelle Rochleau Ph. 402-651-2282