2014 Golf Tournament Signup

Please use this form to register your team for the 1st Annual Holly Scanlan Foundation Golf Tournament on June 6th, 2014.

Once you complete this form please send a check for the total amount to:

Mark DiOrio
c/o The HSF
P.O. Box 1459
Burlington, CT 06013

Contact Name*
Contact Phone Number*
Contact Email Address*
Contact Address*
Contact City*
Contact State*
Contact Zip*
Names of Golfers (Please enter all 4 names.)*
Please Choose Your Options*
- Golf and Dinner Dance ($150)
- Golf only ($125)
- Flag Sponsor ($150)
- Tee Box / Green Sign Sponsor ($100)
- Dinner/Dance beginning at 7pm ($75 per person)
Message On Your Flag (If you have selected Flag Sponsor above.)
Number of Additional Dinner Guests @75 Per Person*

2014 Golf Tournament Signup

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