20th Annual Golf Tournament
July 27, 2016
Hickory Ridge Golf & Country Club
EVENT SCHEDULE:
Registration:
8:30am
Shotgun Start: 10:00am
Dinner/Awards: 4:00pm
$25 per person: Dinner Ticket, Complimentary Draft Beer and Soda with opportunities to participate in Basket
Raffles, General 50/50, and Silent Auctions.
(Perfect for spouses & significant others!)
$85 per person: 18 Holes of Golf with Cart, Continental Breakfast, Lunch, Snacks and Beverages on the
Course, Dinner with Complimentary Draft Beer and Soda, Tee Prizes.
See reverse side for registration form
Foursome Captain:
Name:__________________________ Phone: ________________
*If registering as a foursome,
please indicate Captain’s name.
Address:_______________________________________________
Email: _________________________________________________
Additional Players:
Name:__________________________ Phone: ________________
Address:_______________________________________________
*If registering as single player,
we will form foursome for you,
just indicate N/A on the
“Foursome Captain Name” line
Email: _________________________________________________
Name:__________________________ Phone: ________________
Address:_______________________________________________
Email: _________________________________________________
Name:__________________________ Phone: ________________
Address:_______________________________________________
Email: _________________________________________________
Name:__________________________ Phone: ________________
Address:_______________________________________________
Email: _________________________________________________
AMT Enclosed: __________
Dinner Only: # _____________
Please return to Hospice of Orleans,
PO Box 489, Albion NY 14411.
Checks should be made payable to
“Hospice of Orleans, Inc.”
Please call 585-589-0809 with any
questions.