The Greater St. Louis Pest Control Association Presents the   2011 Nineteenth  Annual Gateway Disabled Ski Program Golf Tournament Monday, June 6, 2011 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, 2011 Make checks payable to: Gateway Disabled Ski Program   Your kind donation supports the Gateway Disabled Ski Program through the purchase of Adaptive Ski and Snowsports Equipment, Professional Training for Volunteers and Scholarships for Athletes in Need.

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 2011 GDSP Golf Tournament The Falls At Turtle Creek gdspstlouis@yahoo.com 636 938-6478