Mid-America Chapter

SCHOLARSHIP GOLF OUTING

REGISTRATION FORM

Thursday October 4, 2012
Tiffany Greens Golf Club
6100 Tiffany Springs Parkway
Kansas City, MO 64154
1-816-880-9600
Tee times start at 1:00 P.M.

$150 per person

Includes golf, cart, light lunch and new sit down dinner

For this event you can arrange your own foursomes

Registrations must be received by September 28, 2012

Name, Company, Handicap:______

______

______

______

Please send this completed form via fax or e-mail and mail the $150 per entrant to:

Shari Morley

Sales Supervisor Nucor - LMP Inc. 2000 East First Street Maryville, MO 64468
NO CREDIT CARDS ACCEPTED FOR PAYMENT
e-mail:

fax: 1-660-582-7730

phone: 1-660-582-3127