30th Annual Shrine Open Golf Tournament
Four Person Scramble – June 11, 2018

Sponsored by: Sesostris Shrine
Wilderness Ridge Golf Club, 1800 Wilderness Woods Place, Lincoln, NE – 
Registration at 7:30 AM - Shotgun start at 8:30 AM

TEAM ENTRY FORM

 $125 per person entry fee includes:
(Cart, 18 Flag Prizes –1st, 2nd, & 3rd Places in 3 Flights 
 Putting Contest, Goodie Bag
Lunch, Prizes and Silent Auction Available for bid at Wilderness Ridge Banquet Room

Extra lunch tickets available for $20.00 each (Spouse and friends welcome)
(Please Print All Information

	Name ___________________________________Email address:______________________________________ 

1.	Address________________________________________________________Phone______________________

	City, State, Zip _________________________________________________# of Extra Lunch tickets________

	Name ___________________________________Email address:_____________________________________ 

2.	Address________________________________________________________Phone______________________

	City, State, Zip _________________________________________________# of Extra Lunch tickets ______

	Name ___________________________________Email address:_____________________________________ 

3.	Address________________________________________________________Phone______________________

	City, State, Zip _________________________________________________# of Extra Lunch tickets _______

	Name __________________________________ Email address:______________________________________ 

4.	Address________________________________________________________Phone______________________

	City, State, Zip _________________________________________________# of Extra Lunch tickets_______

ENTRY DEADLINE – June 4, 2018
Master Card, Visa, Discover or Make Checks Payable to:  
Sesostris Shrine, 1050 Saltillo Road, Roca NE 68430
Call: 402‑474‑6890, ** Fax: 402-474-6918, ** 
E-Mail: office@sesostrisshrine.org 
Net proceeds from this tournament are for the benefit of Sesostris Shrine.
Payments are not deductible as charitable contributions.