To:  COCA, Inc. • PO Box 596 • Maryville, IL  62062-0596  Phone: 618/288-9434 Fax: 618/288-9546

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Fill out information below and press "Submit Registration"
E-mail address of person submitting registration:

Registration Form

COCA GOLF OUTING

 

View pdf copy of Golf Brochure

LIST GOLFER'S NAME(s), TITLE(s), & COMPANY NAME(s):

Cart 1: Golfer 1

            Golfer 2

Cart 2: Golfer 1

            Golfer 2

 Indicate your choice of course (1st - 2nd - 3rd - 4th): (We will contact you as soon as we determine which course you are scheduled to golf on.)

  

   Spencer T. Olin: 10 a.m. Driving Range Opens  

                          11:30 Lunch & Registration

                          12:30 Tee-off (Shotgun Start)

                          Visit their website at http://www.spencertolingolf.com/

 

   Fox Creek: 9 a.m. Driving Range Opens     

                          10:30 Lunch & Registration

                          11:30 Tee-off (Shotgun Start)

                          Visit their website at http://www.golffoxcreek.com/about.php

                          (Directions under "contact")

 

   Lockhaven: 9 a.m. Driving Range Opens     

                          10:30 Lunch & Registration

                          11:30 Tee-off (Shotgun Start)

                          Visit their website at http://www.lockhavencountryclub.com/

 

   Belk Park: 9 a.m. Driving Range Opens     

                          10:30 Lunch & Registration

                          11:30 Tee-off (Shotgun Start)

                          Visit their website at http://www.belkpark.com/

    

Following these events, we will present ALL awards at the complimentary Barbecue & Beer Social which takes place under the pavilion at the Spencer T. Olin Golf course. 

 

           If your 1st choice is full, are you willing to play another other course? 

 

For directions, follow these links to each event ... Spencer T. Olin Fox Creek  Lockhaven. Belk Park

 

We have opened the 4th course ... click to preview an event flyer for Belk Park or visit their website at http://www.belkpark.com

 

 

-OR-

Please commit my firm to the following number of golfers: I will advise the names as soon as possible.

Bill to:

(if different from person registering)

Company:
Address:
Telephone:

PAYMENT INFORMATION

Total Golfers:         x $195.00 =  

Hole Sponsorship:   x $200.00 = Total Due:   

       

  Card Number:  Expiration Date:

  Credit card users: include last 3 digits displayed on back of card near signature line: 

NEW! Need Zip Code of where STATEMENT is mailed:

The following is how I would like the Company Name to appear on the sign: (No logos or artwork)

View pdf file of Hole Sponsorship Form

MAKE CHECKS PAYABLE TO: 

COCA, Inc., 2812 North Center Street, PO Box 596, Maryville, IL  62062-0596

This is a firm commitment for the number of golfers registered.  Cancellations and refunds are determined by COCA's ability to fill the vacated spots; however, substitutions are welcomed at any time.