to the 2017 Golf Registration Form

12th Annual
Wilton Rotary Golf Classic
Saturday, June 17th 2017
11AM Registration
Airway Meadows Golf Club
wiltonrotary.com
airwaymeadowsgolf.com
262 Brownville Rd. Gansevoort, NY 12831
The Rotary Club of Wilton, NY, presents its 12th annual golf tournament at Airway Meadows Golf Club on
Saturday, June 17, 2016. Again this year - Registration begins at 11AM - Shotgun Start at 12 NOON!! It
will be a 4-person scramble followed by a delicious barbeque under the clubhouse tent. As always, great prizes
for a variety of challenges on the golf course, including “Longest Drive”, “Most Accurate Drive”, “Closest to
the Pin” and, of course, Hole-In-One. After golf we’ll have a live auction for some terrific prize packages and
items. And don’t forget about the Golf Ball Drop – you could win $500 cash! 100% of Golf Ball Drop
Proceeds go to support Habitat For Humanity.
If you don’t golf, please join us afterwards for a barbeque dinner (approx. 5:30 PM) and be a part of our live
auction for packages donated by local businesses! Dinner guests are only $20 per person.
Questions??? Call Bob Rice at (518) 577-1110.
More forms available at: www.wiltonrotary.com
----------------------------------------------Cut along perforated line----------------------------------------------______ YES - Sign me(us) up for golf! $95 per golfer – incl. golf, light lunch, and barbeque dinner
(If you do not enter as a foursome we will match you up with other friendly golfers!)
Name______________________________ Hdcp:______
Golfer 2______________________________ Hdcp:______
Your home phone#____________________E-mail address:__________________________________________________
Golfer 3____________________________ Hdcp:______
Golfer 4______________________________ Hdcp:______
Dinner Guest Name(s)_______________________________________________________________________
$95 x ____ golfers =
$_________
To pay by credit card:
$20 x ____ dinner guests =
$_________
CC Accepted (circle one):
Credit Card #_____________________________________
OPTIONAL PRE-PURCHASE:
$5 Puttigan x _____ =
Visa / MC / Disc / Amex
$_________
(like a mulligan, but can only be used on the
green; 1 per golfer, 4 max. per foursome)
Expiration date____________________________________
CSV Code (on back of card)_________________________
Zip Code (of billing address)_________________________
$5 Golf Ball Drop x_____balls =
$_________
(unlimited, each is a chance/raffle to win $500)
TOTAL ENCLOSED $_______
To pay by check: Please make check payable and mail to:
Wilton Rotary Club P.O. Box 2098 Wilton, NY 12831
***Please bring a can or non-perishable food item to support the Wilton Food Pantry***
Pssst – here’s a secret for you golfers…raffle prizes are given away before golf – arrive early for best variety!