Entry Fees
Single (we'll pair you)	$ 200
Twosome (we'll pair you)	$ 400
Threesome (we'll pair you)	$ 600
Foursome	$ 800
Reception & Dinner Only	$   60 ea.

REGISTRATION FORM

(1)	Name
Address:
City, State & Zip:
Home Phone:
Work Phone:
Email:
Handicap:
Club:
		Will Attend Luncheon
		Will Attend Dinner

(2)	Name
Address:
City, State & Zip:
Home Phone:
Work Phone:
Email:
Handicap:
Club:
		Will Attend Luncheon
		Will Attend Dinner

(3)	Name
Address:
City, State & Zip:
Home Phone:
Work Phone:
Email:
Handicap:
Club:
		Will Attend Luncheon
		Will Attend Dinner

(4)	Name
Address:
City, State & Zip:
Home Phone:
Work Phone:
Email:
Handicap:
Club:
		Will Attend Luncheon
		Will Attend Dinner
How will you pay?
		By Check Online by Credit Card
Comments: