Maxwell Meiborg Foundation

Registration for the 2010 Maxwell Meiborg Foundation Golf Tournament

REGISTRATION FEES
Per Player- $50
Guest - $10

GUESTS
You may bring a guest(s) with you to cheer you on during the tournament. There will also be a buffet and silent auction at the conclusion of the tournament.

	Team Name

	** Please enter First and Last Name for all Players and Guests!

	Players
	First Name	Last Name
1		(captain)
2
3
4
	If you do not have a team of 4 players, we will pair you with additional players before the day of the event.

	Captain's Info
	Address
	City
	State
	Zip
	Phone
	Email

	Guests

For more information, please contact Kara Meiborg at (319) 396-3694 or via email

Please make check/money order payable to:	Maxwell Meiborg Fund
Address:	MM Foundation PO Box 8812 Cedar Rapids, IA 52408