2003 Day/Nite Scramble Registration


Please complete the following form to register for the event.

Send check for $200 payable to Kiwanis Club of Shelbyville to:
    Rick Hauke
    Kiwanis Club of Shelbyville
    528 North 600 East
    Shelbyville, Indiana 46176
 

Please provide the following contact information:

First Name
Last Name
Work Phone
Home Phone
FAX
E-mail
Player 2
First Name
Last Name
Player 3
First Name
Last Name
Player 4
First Name
Last Name

Copyright © 2003 Kiwanis Club of Shelbyville
Last modified: 08/26/03