GOLF CLASSIC REGISTRATION FORm …

                     GOLF CLASSIC REGISTRATION FORm


                                                                                               October 22, 2008
                                                                                               The Revere Golf Club
                                                                                               2600 Hampton Rd.
                                                                                               Henderson, NV 89052
                                                                                               (877) 746-5337


Entry Fee                                    Please, register me for the SupplySide West Golf Classic
                                             for only $199 per person.
$199 per player includes:
Tournament fees, transportation
to and from The Venetian Resort,             Name:
golf cart, practice balls, golf
                                             Company Name:
giveaways, golf balls, beverage
coupon, continental breakfast,               Address:
lunch and raffles.                           City:                                    State:                Zip Code:

Prizes                                       Phone:
Awards for 1st, 2nd and 3rd place
                                             Fax:                                    *E-mail
teams, men's and women's closest
                                             *Required field.
to the pin, men's and women's
longest drive and Hole-in-One!*              In order for your golf registration to be processed, please
*One individual prize may be awarded         provide the following information:
for Hole-in-One contest.
                                             Handicap/ Average:
Club Rental                                  Club Rental?      q Yes q No
Club rentals must be secured in              If yes, right or left? q Right q Left
advance through Virgo Publishing.
                                             Foursomes will be formed by show management. If you are
Clubs are available to rent for $65.         already a member of a foursome, please provide the names
                                             below. Listing additional names does not ensure a foursome
Format                                       unless members are previously registered.
Four-person Scramble.
Shotgun tee-off at 8:45am.                   1.
                                                  (Player Name)                                (Company Name)
Entry Deadline                               2.
Registrations must be received                    (Player Name)                                (Company Name)
by Friday, October 3, 2008. Space            3.
is based on availability.                         (Player Name)                                (Company Name)
                                             If not previously registered, a separate registration form for each golfer is required.
Lunch
An awards luncheon will be                   Card #:                                           Exp. Date:               CVV:
served immediately following the
                                             Name on Card:
tournament.
                                             Signature:
Dress Code Requirements
Shirt with collar and sleeves, no                                                                        Subtotal:
denim and non-metal spikes are                                  + $65 fee if renting clubs: (first come first serve)
mandatory.
                                                                                               Total Amount Due:

Mail Completed registration form and payment to: Virgo Publishing, Attn: Lola Ortega, Box 40079, Phoenix, AZ 85067;
Fax to: (480) 281-6072; or Call (800) 454-5760 or (480) 990-1101, ext. 1117 to register. E-mail: lortega@vpico.com
Cancellation/Refund Policy: No refunds will be issued for any golf registration cancellations. Payment of the golf tournament
registration fee confirms that you have read, agree and will comply with the published cancellation policy.
* Virgo reserves the right to refuse participation in the golf tournament to any person. Confirmed registrations to the golf
tournament are not transferable.