The Ronald Nistler

Educators Memorial Golf Tournament

Golf Tournament Entry Form

Enclosed is a check for $___________. Please make check payable to:

Upward Bound or Educational Talent Search.

PLEASE CHECK BOX(s) THAT APPLY:

$100 Hole Sponsorship Name of Sponsor ________________________________________________

Donate Flag Prize Name of Donor and Flag Prize ______________________________________

Personal Donation to Tournament Name of Donor __________________________________________

Individual Entry ($80) Team Entry, Four person ($300)

$80 Entry Includes: $100 Hole Sponsorship:

18 holes of golf Sign on Tee Box

Cart Sponsor Hole Prize

Range Recognition in Tournament Material

BBQ after tournament

Complimentary Beverages

Flag Prizes

Player #1

Player Name______________________________ email address: ______________________________

Address_______________________________________ City_________________ State_______ Zip____________ Phone # ( ) _______________________

Player #2

Player Name______________________________ email address: ______________________________

Address_______________________________________ City_________________ State_______ Zip____________ Phone # ( ) _______________________

Player #3

Player Name______________________________ email address: ______________________________

Address_______________________________________ City_________________ State_______ Zip____________ Phone # ( ) _______________________

Player #4

Player Name______________________________ email address: ______________________________

Address_______________________________________ City_________________ State_______ Zip____________ Phone # ( ) _______________________

Please send entry and check(s) to:

MSU-Billings Upward Bound, Attn: Dan Benge,

1500 University Dr., Billings, MT 59101.

Tournament will be a 12:00 p.m. shotgun on Friday, July 31st, EAGLEROCK Golf Course.

Early Check-in begins at 10:00 a.m.

Any Questions call Dan Benge @ (406) 657-2179

No refunds after July 22, 2011 for team or individual registration.