Registration Form - Rebuilding
Together 7th Annual Par 3 Golf Tournament – Monday, June 22, 2009
Name #1____________________________________
Address_____________________________________
City, State, Zip_______________________________
Phone #_____________________________________
Individual ($50.00) ________
Fivesome
($250.00) ________ (list individual members below)
Attend
Barbecue/Auction only ($15.00) _________
Tee or Green Sponsor ($50.00) Tee_____ Green______
Sponsorship Sign to read as
follows:
_______________________________________________________________
Total _________________
Please return this form along with payment to:
Rebuilding Together, P.O. Box 5161,
Haverhill, MA 01835
Additional Golfers in my Group (fivesome)
Name#2_________________________________________________
Address _________________________________________________
___________________________________Phone_________________
Name #3_________________________________________________
Address __________________________________________________
___________________________________ Phone________________
Name#4 _________________________________________________
Address __________________________________________________
_____________________________________Phone_______________
Name#5 _________________________________________________
Address __________________________________________________
_____________________________________Phone______________
