This form can be used to register your team for the 2010 MHCI 10 event held in Las Vegas on October 24-26. This form should be filled out by the person designated as the team captain and only needs to be submitted once per team. If you have any questions, please contact Tournament Director, Gene Stunkel at (702)493-6921.

To secure your foursomes spot in the MHCI 10, please send a goodwill deposit of $5,000 to the Tournament office by August 25, 2010 and the balance by October 5, 2010.

All checks need to be made payable to: The Maddux Foundation

Send to:
Eventia
c/o MHCI
9013 Thornbury Lane
Las Vegas, NV 89134



Team Captain's Name:
 
Mailing Address (Please include city, state, and zip code)


* * * P L A Y E R  # 1  I N F O R M A T I O N * * *
 
Name: Phone: Email:
Handicap: Shirt Size:
 
Will be attending dinner/auction: Yes    No
Will be attending with guest: Yes    No
Will be staying at The Venetian: Yes    No


* * * P L A Y E R  # 2  I N F O R M A T I O N * * *
 
Name: Phone: Email:
Handicap: Shirt Size:
 
Will be attending dinner/auction: Yes    No
Will be attending with guest: Yes    No
Will be staying at The Venetian: Yes    No


* * * P L A Y E R  # 3  I N F O R M A T I O N * * *
 
Name: Phone: Email:
Handicap: Shirt Size:
 
Will be attending dinner/auction: Yes    No
Will be attending with guest: Yes    No
Will be staying at The Venetian: Yes    No


* * * P L A Y E R  # 4  I N F O R M A T I O N * * *
 
Name: Phone: Email:
Handicap: Shirt Size:
 
Will be attending dinner/auction: Yes    No
Will be attending with guest: Yes    No
Will be staying at The Venetian: Yes    No
 
 


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