PIA of Wisconsin’s Young Professional’s Club

17th Annual Scholarship Golf Outing

August 6th, 2020 ~ The Highlands Course

Grand Geneva Resort ~ Lake Geneva, WI

10:00 a.m. Shotgun Start – Scramble Format – 144 Spots Available

$150 per person (Includes: golf, cart, box lunch, hors d’oeuvres, and 2 beverage tickets!)

Scholarships totaling up to $25,000 will be given away thanks to our generous sponsors.

Wisconsin Mutual Insurance Logo

Gold Sponsor - IMT Insurance Gold Sponsor - Society Insurance

YPC Golf Sign-up Form
Number of Golfers*
First Golfer
First Golfer's Name*
First Last
First Golfer's Agency or Company*
First Golfer's Address*
Street Address Address Line 2 City State ZIP Code
First Golfer's Phone*
First Golfer's Cell Phone
First Golfer's Email*
Golfer #1*
Price: $150.00
Second Golfer
Second Golfer's Name*
First Last
Second Golfer's Agency or Company*
Golfer #2*
Price: $150.00
Third Golfer
Third Golfer's Name*
First Last
Third Golfer's Agency or Company*
Golfer #3*
Price: $150.00
Fourth Golfer
Forth Golfer's Name*
First Last
Forth Golfer's Agency or Company*
Golfer #4*
Price: $150.00
Incomplete Foursomes
Incomplete Foursomes*
Notes
If you have others in your group that are registering separately, please provide the names of those golfers.
Payment
You will receive a full refund if the PIA Office is notified in writing by July 11th. No refunds after July 11th.
Total
$0.00
Method of Payment*
Credit Card*

Card Details

Cardholder Name
Please make check out to PIA of Wisconsin

Mail to:
PIA of Wisconsin
6401 Odana Rd.
Madison, WI 53719