Northern OhioChapter

Golf Outing & ClambakeTuesday, October 1, 2019Mallard Creek Golf Club34500 Royalton RdColumbia Station, OH 44028www.TheMallardCreek.com

12:00 pm Shotgun startSCRAMBLE FORMAT5:00 pm Clambake

Golf & Clambake: $100 per personIncludes18 holes of golf, cart rental and clambake dinner

Clambake Dinner Only: $50 per person

Clambake dinner includes 1 dozen clams, baked chicken, clam chowder, baked sweet potatoes,

sweet corn, salad, rolls and two drink tickets. Please let us know of any shellfish allergies/special allergies for special diet

requirements so that we may attempt to accomodate as available.

Golfers may make their own foursome or we can place you in a group.

Complete and send in registration form.

Registration DeadlineSeptember 25, 2019

Questions? Please contact Jim Fetcko

Ohio Screw Products, Inc.440-322-6341

jfetcko@ohioscrew.com

Prizes for best score, closest to the pin and longest drive!

Hole Sponsorships Available!

Registration FormNorthern Ohio Chapter Golf Outing & Clambake

October 1, 2019

CANCELLATION POLICY: Refunds will be made for cancellations made 72 hours prior to the outing. Otherwise substitutions are encouraged.

TO REGISTER:ONLINE http://bit.ly/PMPANO-GOLF19 FAX 440.526.5803 EMAIL registration@pmpa.org

Check Payment Make payable to PMPA - Northern Ohio ChapterMail to PMPA, 6880 W. Snowville Rd, #200, Brecksville, OH 44141

Credit Card PaymentBilling Address q Same as company address q Visa q MC q Discover q AmEx

Address _______________________________________________________________________________________________

City_______________________________________________________________ State _________ Zip _________________

Cardholder’s Name ____________________________________________________________ Exp. Date_______________

Card # ______________________________________________________________________ Sec Code_______________

Signature______________________________________________________________________________________________

Name Company Golf Dinner Total & Dinner Only $100 $50

1. __________________________ _________________________ ______ _____ $_______

2. __________________________ _________________________ ______ _____ $_______

3. __________________________ _________________________ ______ _____ $_______

4. __________________________ _________________________ ______ _____ $_______

5. __________________________ _________________________ ______ _____ $_______

6. __________________________ _________________________ ______ _____ $_______

Total ______ _____ $_______

Hole Sponsorship - Only $100 per hole!You or your company can sponsor a hole!

Names and sponsors will be prominently displayed at tee boxes.Deadline: Sept 20, 2019

List Name/Company for sign:Name Company # of Holes Total __________________________ _________________________ ______ $_____

__________________________ _________________________ ______ $_____

Deadlines: Sept 20 (Hole Sponsors), Sept 25 (Registration)