Individual or Team Entry Form

Space is limited, payment in full is due no later than June 6, 2008

Make check payable to:  CSBV Golf Tournament   or

Charge to my credit card:   _____VISA   ____ MasterCard

                                                      

 

CC # _______________________  Exp. Date __________

_____________________________

 Signature

                                          ——-       

          

                                           $95. per person

Applicant’s Name___________________________________

Address___________________________________________

City______________________State______Zip___________

Phone (H)___________________ (Work)________________

Email_____________________________________________

 

_______________________________________________________

 

Applicant’s Name___________________________________

Address___________________________________________

City______________________State______Zip___________

Phone (H)___________________ (Work)________________

Email_____________________________________________

 

_______________________________________________________

 

Applicant’s Name___________________________________

Address___________________________________________

City______________________State______Zip___________

Phone (H)___________________ (Work)________________

Email_____________________________________________

 

_______________________________________________________

 

Applicant’s Name___________________________________

Address___________________________________________

City______________________State______Zip___________

Phone (H)___________________ (Work)________________

Email_____________________________________________

 Player Registration Form

To contact us:

Phone: 401 722 4626

Fax: 401 727 2967

Email: childrensshelter@cox.net