BALL FORE Miniature Golf Course
6701 W. 107th Street, Worth IL 60482 - 708-423-3959
       
LAST NAME
FIRST NAME
NICKNAME
DATE OF BIRTH
HOME ADDRESS
CITY
STATE
ZIP
DAY PHONE
NIGHT PHONE
EMAIL ADDRESS

ENTRY FEE: $80.00

PAYMENT METHOD (Please check that which applies):    
       
Check/Money Order Please make check or money order payable to:  
  CHICAGO RIDGE PARK DISTRICT  
  Mailing Address:  
  9807 S. Sayre Avenue
Chicago Ridge, IL 60415
Attention: ILLINOIS STATE OPEN
 

Credit Card (Visa or Mastercard Only)    
       

Invalid format.
 
Credt Card Number Expiration Date  
     

 
Name on Credit Card   Three digit code on back of card