3 rd Annual VPPPA Region VII Scholarship Golf Tournament Monday May 24, 2010 Eagle Hills Golf Course 501 Eagle Hills Dr Papillion, NE (402) rd Annual VPPPA Region VII Scholarship Golf Tournament Monday May 24, 2010 TOURNAMENT FORMAT 4 Person Scramble Shotgun Start 9:00 am Registration begins 8:30 am - On Course events: hole-in-one, closest to the pin, longest drive, longest putt - Tournament Awards: 30 minutes after golfers finished playing ENTRY Entry fees are $75 per player or $300 per team. This fee includes green fees, carts and tee package. Singles will be matched with teams by draw. Payment methods include check or credit card (see the registration form on reverse side). Completed golf registration forms and fees should be submitted by May 7, Registration cannot be accepted without payment. INCLEMENT WEATHER In the event of inclement weather, prizes will be awarded by drawing at the banquet. Since this is a charity event, registration fees and sponsorships are non-refundable. Eagle Hills Golf Course will make every effort to hold the event, including an abbreviated format. Only under severe weather conditions will play not be allowed. The VPPPA Region VII is a 501(c)(3) non- profit organization.

THE 3 rd ANNUAL VPPPA Region VII Scholarship Golf Tournament May 24, 2010 REGISTRATION FORM Primary Company Sponsor ______________________________________ Address ______________________________________________________ City/State/Zip __________________________________________________ Address ________________________________________________ Daytime Phone ____________________________________________ Golfer Name : 1.___________________________________________________ 2. ___________________________________________________ 3. ___________________________________________________ 4. ___________________________________________________  YES I would like to play but need help with a team $75 per player or $300 per team We hope you will be able to select one of the sponsorship contribution options.  YES I would like to Sponsor Check Sponsorship Level  Master Sponsor $400  Open Sponsor $200 4 Golfers 2 Golfers 2 Tee Signs 1 Tee Sign  Hole Sponsor $125  Tee Sponsor $50 1 Golfer 1 Tee Sign 1 Tee Sign  I am unable to play, but enclosed is a donation for the VPPPA Region VII Scholarship Fund in the amount of $______________. Total Registration fees $___________________ Method of Payment (check appropriate box)  Check Payable to: VPPPA Region VII Scholarship Golf Tournament Credit Card  MasterCard  Visa  American Express ____________________________________________ Card Number _________________________________________________ Cardholder Name (print) ___________________________________________ Expiration Date _____________________________________________ Cardholder Signature If paying by check, completed registration form with check should be mailed by May 7, 2010 to: VPPPA Region VII PO Box Cedar Rapids, IA If paying by credit card, completed registration form, along with credit card information requested above, should be sent by May 7, 2010 to: Carlena Ford Phone: (703) ext. 304 Fax: (703) The VPPPA Region VII is a 501(c)(3) non-profit organization.