GLADSTONE GOLF COURSE • FOUR PERSON SCRAMBLE • NOON ((EST)) REGISTRATION & PICNIC LUNCH • 1:00 p pm SHOTGUN START • 6:00 p pm BUFFET PROGRAM & PRIZES TO FOLLOW ALL PROCEEDS PROUDLY SUPPORT YMCA ANNUAL CAMPAIGN REGISTRATION FORM - 16th ANNUAL YMCA GOLF CLASSIC Entry Fee: $90 per player (Entry fee includes picnic lunch, 18 holes of golf, buffet dinner) Team Name: ___________________________________ Contact Person:_________________________ Please form your own team; however, if requested, we will make every attempt to assign you teammates. ____________________________________________________________________________________________________________________________________________________________________ Player Name Address Phone Email ____________________________________________________________________________________________________________________________________________________________________ Player Name Address Phone Email ____________________________________________________________________________________________________________________________________________________________________ Player Name Address Phone Email ____________________________________________________________________________________________________________________________________________________________________ Player Name Address Phone Email Please reserve__________players @ $90 each Number of carts__________@ $25 each Number of additional dinner tickets__________@ $15 each Total entry fees, golf cart fees and additional dinner tickets enclosed $__________ Make your tax deductible checks payable to Northern Lights YMCA P.O. Box 602, Escanaba, MI 49829 • (906) 789-0005 • Fax (906) 789-6330 Return this completed form and payment by July 27th, 2017 www.nlymca.com
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