Jerry Gray Foundation

JERRY GRAY FOUNDATION

P.O. Box 308

Lubbock, TX 79408-0308

952-918-8309

2015 Jerry Gray Foundation Golf Tournament Entry Form
Saturday, June 27 • 8:30 Tee Time - The Rawls Course at Texas Tech (Lunch at 12 noon)

Name of Company:
Note: Your company name will be listed on our player confirmation page.

Name of Representative:

Platinum - $1,000 - 4 golfers
Gold - $750 - 4 golfers
Silver - $600 - 4 golfers
Bronze - $400 - 4 golfers
Copper - $200

Player #1:

Name:

Mailing Address:

Daytime Phone:

E-Mail Address:

Player #2:

Name:

Mailing Address:

Daytime Phone:

E-Mail Address:

Player #3:

Name:

Mailing Address:

Daytime Phone:

E-Mail Address:

Player #4:

Name:

Mailing Address:

Daytime Phone:

E-Mail Address:

Lunch and range balls will be available for all golfers. Golfers and friends are invited to the post tournament reception and sports collectibles auction.

Method of Payment, choose one:
(Note: If you choose to pay by credit card, we will call you to get your information.)

Cash
Check
Visa
Mastercard
American Express