About KMI

KMI Events

Publications

Membership

Home

Constitution & By Laws

Past Presidents

Officers & Directors


Kentucky Mining Institute Golfing Event
StoneCrest Golf Course, Prestonsburg, Kentucky
Wednesday, August 22, 2001

Please provide the following contact information:

Name
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
Handicap

Team Players
(please seperate by commas)

 

Select any of the following options that apply:


Please reserve  spaces @ $50 per person

Hole Sponsor @ $100 per hole

Prize Donation of  for Golf Tournament  or   Awards Ceremony

Cash Donation of  for  Golf Tournament   Awards Ceremony

Choose the Method of Payment:


Check enclosed

Check forthcoming

Please be advised:  This is not a secure server.  If you wish to use your credit card please call (859) 257-2820.

Charge  to my:  Visa  Mastercard              
Credit Card #   

Credit Card Expiration Date:  (mo/yr)

Cardholder's Name:   

               


 

Copyright 2000 Kentucky Mining Institute
All rights reserved, E-mail: webmaster@miningusa.com
Design & Hosted by Mining Internet Services, Inc.