2010 Eighteenth Annual Gateway Disabled Ski Program Golf Tournament Monday, June 7, 2010 The Falls At Turtle Creek O'Fallon, Missouri Mail to: Lyle Siemer 11725 Greengate Lane St. Louis, Missouri 63146 Phone: 314 443-3972 hoover55@charter.net Company Name: _______________________________ Amount Paid: __________________________________ $520.00 for Major Sposorship $100.00 per Individual Golfer Registration Form Due, May 1, 2010 Make checks payable to: Gateway Disabled Ski Program

Team Captain: ________________________________ Address: _______________________________________ City, State, Zip:_______________________________ Day Phone: _____________________________________ Evening Phone: _________________________________ Player #2: _____________________________________ Address: _______________________________________ City, State, Zip:_______________________________ Day Phone: _____________________________________ Evening Phone: _________________________________ Player #3: _____________________________________ Address: _______________________________________ City, State, Zip:_______________________________ Day Phone: _____________________________________ Evening Phone: _________________________________ Player #4: _____________________________________ Address: _______________________________________ City, State, Zip:_______________________________ Day Phone: _____________________________________ Evening Phone: _________________________________ Directions to The Falls at Turtle Creek O'Fallon, Missouri Take Highway I-70 west to the K-M exit. Turn left on K for about 1 mile Turn right on Mexico Road Approximately one mile and you will see the clubhouse Turn right and you are there

We will see you at the 2010 GDSP Golf Tournament The Falls At Turtle Creek gdspstlouis@yahoo.com 636 938-6478