Registration-Donation

Download the Golf Entry & Hole Sponsor Registration Form here:

The AZ Chapter Families of SMA

PRESENTS:

THE 16TH ANNUAL

KDK SMASH SMA GOLF CLASSIC

Friday, May 4, 2012: 1:00 PM

at Western Skies Golf Club

11:30 PM: Registration

6:00 PM: Cocktails, Dinner, Prizes and Raffle

Please join us in our search for a cure of Spinal Muscular Atrophy, the number 1 killer of children under the age of two years old.

FEES: $120 per player: includes cart, balls, tees, dinner and prizes

1:00 PM - Shotgun Start, Scramble Format

Dinner is available for any non-golfers for a $20 donation!

(480) 545-8542

ENTRY DEADLINE IS APRIL 24, 2012!!!!!

Entry Fees: $120 per person Company Name:______________________

Players Names Email Address

__________________________________________ ____________________________________

Hole Sponsorship Company Name:______________________

______ Platinum: $500 ______ Gold: $300 ______ Silver: $200

The AZ Chapter Families of SMA Tax ID# is 36-3320440

To make an On-Line Donation (Not for Golfers/Hole Sponsors & Raffle Prizes)

directly to the AZ Chapter, please go to: www.fsma.org/kdksmashgolf2012

Mail Registration Form & Check to: AZ Chapter Families of SMA

50 W. Via de Arboles

Queen Creek, AZ 85242

Fax: 602-242-1580

For More Information you may also contact:

Steve Kaler (602) 721-2550 Karey Kaler (480) 330-2204

Kelly Owsley (520) 869-7820 April Erekson (602) 721-2552