REGISTRATION FORM: CASMI’S ANNUAL GOLF OUTING

Wednesday, June 4, 2014

Hilton Indian Lakes Resort

250 W Schick Road, Bloomingdale, IL 60108

FEES:

· CASMI Members and Suppliers Exhibiting in CASMI’s SPRINGWORLD 2014 Show

$135.00 - Lunch, Golf, 3 drink tickets for beverage cart, Evening open bar, and Plated Dinner

$ 80.00 - Cocktails & Dinner ONLY

· Non-Member Spring Manufacturers and Suppliers NOT Exhibiting in CASMI’s SPRINGWORLD 2014

$175.00 - Lunch, Golf, 3 drink tickets for beverage cart, Evening open bar and Plated Dinner

$ 90.00 - Cocktails & Dinner ONLY

SPECIAL EVENTS:

· Longest Drive

· Closest to the Pin

· Longest Putt

· Lowest Gross Team (1st Place)

· Next Lowest Gross Team (2nd Place)

Please Submit Registrations No Later Than May 23rd, 2014.

COMPANY NAME

YOUR NAME

ADDRESS

PHONE

EMAIL

GOLFERS NAME (S) COMPANY HANDICAP

(if not same as above) (or Average/18 Holes)

1

2

3

4

If you need to rent clubs, please visit http://indianlakesresort.com/golf/ as soon as possible to reserve your equipment.

Please Register ______ for Lunch, Golf, 3 drink tickets, Open bar Cocktails & Dinner @ $ ________ = $ _______

Please Register ______ for Open bar Cocktail & Dinner ONLY @ $ _________ = $ _________

o Enclosed is my check in full payment (must be enclosed) for total cost = $ _______

o Charge my Credit Card: oVisa o MasterCard o Amex

Name on Card ________________________________________________________________


Number: ________________________________ Expires _______ Verification Code_______

Signature ___________________________________________________________________