Full Name:            

                         E-mail Address:   

                         Company Name:   

                         Street Address or P.O. Box:     

                         City, State, & Zip:  

                         Phone (Cell):         (Work):

Please reserve (number: )) Grand Slam Tickets for our Team at $ 20 per ticket.
*Grand Slam Tickets include 2 Mulligans, Longest Drive & Closest to Hole entry*

$ Total (Golf Entry)

I would like to purchase    holes at $100 each  ◊ Total Hole Purchase: $   


I cannot attend, but here is my donation to the Calcasieu Women's Shelter (check enclosed).

Donation: $   

All payments must be submitted no later than April 25, 2008.

Mail check to:
Calcasieu Women's Shelter, P O Box 276, Lake Charles, LA 70602

phone (337) 436-4552 ◊ fax (337) 436-8327 ◊ email cws@cwshelter.org