Golf Scramble Registration Golf Scramble Registration Registration form for the CHEO 2017 Golf Scramble. Golf Outing Friday, August 25, 2017The Sanctuary Golf Club, 2017 Applegrove Street N.W., North Canton Ohio 44720Name* First Last Company NameAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Email* Enter Email Confirm Email Choose the number of golfers you are registering.*One golferTwo golfersThree golfersFour golfersGolfer 1Name* First Last Email Enter Email Confirm Email PhoneGolfer 2Name First Last Email Enter Email Confirm Email PhoneGolfer 3Name First Last Email Enter Email Confirm Email PhoneGolfer 4Name First Last PhoneI will be paying by ...*Check sent to the officeVisa or MasterCardPayment TypePaying by checkIf you are paying by check, please send your payment to the CHEO office by August 15th. CHEO P.O. Box 434 Granville, OH 43023Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20172018201920202021202220232024202520262027202820292030203120322033203420352036 Expiration Date Security Code Cardholder Name NameThis field is for validation purposes and should be left unchanged.