registration

Registration

Fort Worth Scottish Rite
Ancient and Accepted Scottish Rite of Freemasonry

Player #1

First Name

Address

City

Middle Name

Last Name

State

Zip

Home Phone

Cell

Work Phone

Remarks

Email

Each player must be registered separately.
Indicate in the remarks block the last name of the
players you wish to be teamed with.

> $125.00 per player / $500.00 per team
> To pay by check, mail to:
  Double Eagle Golf
  Classic, P.O. Box 1320
  Ft. Worth, Tx. 76101
> Secure credit card payment, call 817-335-6004.
> Registration Deadline : September 22, 2011