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The Wellness Community of Greater Columbus
5500 Frantz Road Suite 115
Dublin, Ohio 43017
614-791-9510
webmaster@wellnesscolumbus.org
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GREATER CONEHEAD GOLF CLASSIC REGISTRATION FORM
Please complete the following for yourself and any other golfer in your
group. Your “conemittment” and check in the amount of $175.00 are
requested by May 15, 2008.
Please print and fill out application.
Please make check payable to, CH Enterprises and return the completed
registration form and check to: Doug Paplaczyk, 7019 Ballantrae Loop,
Dublin, OH 43016.
OR you can sign up online. Simply put shirt size in remarks area.
All registrants will receive additional information about the day’s events
prior to the tournament via email, so please provide your email address.
GOLF: $175.00 PER PERSON/$700 PER FOURSOME
PAYMENT MUST BE SENT AT TIME OF REGISTRATION.
NAME: _______________________________________ TELEPHONE:
___________________
ADDRESS:
___________________________________________________________
_________
CITY: ____________________ STATE: _________ ZIP: ___________
EMAIL ADDRESS: _____________________________________ FAX:
__________________
HANDICAP: ______________ SHIRT SIZE: S M L XL XXL
NAME: _______________________________________ TELEPHONE:
___________________
ADDRESS:
___________________________________________________________
_________
CITY: ____________________ STATE: _________ ZIP: ___________
EMAIL ADDRESS: _____________________________________ FAX:
__________________
HANDICAP: ______________ SHIRT SIZE: S M L XL XXL
NAME: _______________________________________ TELEPHONE:
___________________
ADDRESS:
___________________________________________________________
_________
CITY: ____________________ STATE: _________ ZIP: ___________
EMAIL ADDRESS: _____________________________________ FAX:
__________________
HANDICAP: ______________ SHIRT SIZE: S M L XL XXL
NAME: _______________________________________ TELEPHONE:
___________________
ADDRESS:
___________________________________________________________
_________
CITY: ____________________ STATE: _________ ZIP: ___________
EMAIL ADDRESS: _____________________________________ FAX:
__________________
HANDICAP: ______________ SHIRT SIZE: S M L XL XXL
EVENING PARTY ONLY/$75.00 per person/$50.00 for spouse/guest of
golfer
NAME: _______________________________________ TELEPHONE:
___________________
ADDRESS:
___________________________________________________________
_________
CITY: ____________________ STATE: _________ ZIP: ___________
EMAIL ADDRESS: _____________________________________ FAX:
__________________
Please complete the following for yourself and any other golfer in your
group. Your “conemittment” and check in the amount of $175.00 are
requested by May 15, 2008.
Please print and fill out application.
Please make check payable to, CH Enterprises and return the completed
registration form and check to: Doug Paplaczyk, 7019 Ballantrae Loop,
Dublin, OH 43016.
OR you can sign up online. Simply put shirt size in remarks area.
All registrants will receive additional information about the day’s events
prior to the tournament via email, so please provide your email address.
GOLF: $175.00 PER PERSON/$700 PER FOURSOME
PAYMENT MUST BE SENT AT TIME OF REGISTRATION.
NAME: _______________________________________ TELEPHONE:
___________________
ADDRESS:
___________________________________________________________
_________
CITY: ____________________ STATE: _________ ZIP: ___________
EMAIL ADDRESS: _____________________________________ FAX:
__________________
HANDICAP: ______________ SHIRT SIZE: S M L XL XXL
NAME: _______________________________________ TELEPHONE:
___________________
ADDRESS:
___________________________________________________________
_________
CITY: ____________________ STATE: _________ ZIP: ___________
EMAIL ADDRESS: _____________________________________ FAX:
__________________
HANDICAP: ______________ SHIRT SIZE: S M L XL XXL
NAME: _______________________________________ TELEPHONE:
___________________
ADDRESS:
___________________________________________________________
_________
CITY: ____________________ STATE: _________ ZIP: ___________
EMAIL ADDRESS: _____________________________________ FAX:
__________________
HANDICAP: ______________ SHIRT SIZE: S M L XL XXL
NAME: _______________________________________ TELEPHONE:
___________________
ADDRESS:
___________________________________________________________
_________
CITY: ____________________ STATE: _________ ZIP: ___________
EMAIL ADDRESS: _____________________________________ FAX:
__________________
HANDICAP: ______________ SHIRT SIZE: S M L XL XXL
EVENING PARTY ONLY/$75.00 per person/$50.00 for spouse/guest of
golfer
NAME: _______________________________________ TELEPHONE:
___________________
ADDRESS:
___________________________________________________________
_________
CITY: ____________________ STATE: _________ ZIP: ___________
EMAIL ADDRESS: _____________________________________ FAX:
__________________
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Party Only
Party Only, Guest of Golfer
Hole Sponsor
Golf Foursome
Individual Golfer
Make it easy and sign up online.
Pay with a credit card and you will
be contacted with all the details.
Hurry! Limited to 120 golfers!
Pay with a credit card and you will
be contacted with all the details.
Hurry! Limited to 120 golfers!
