Send Entry with fee’s to:

Veys Golf

3703 Marie Street

Bellevue NE 68147

Name:_____________________________________ (Team Captain)

Address:___________________________________

City:_______________ State:______________ Zip:_________

Phone:____________________________

Email:_____________________________

Please check appropriate line:

Single Registration $85.00______ *you will be teamed up

Foursome Registration $340.00_____ *list names below

Steak Lunch Only $20.00 per person. Number of persons __________

I would like to just donate $___________

Names of persons in foursome

1.____________________________

2.____________________________

3.____________________________

4.____________________________

Entry Deadline is SEPTEMBER 9th, 2011

Please Make Checks Payable to:

Omaha Retail Meat Dealers Association