CHAD HIRTLE MEMORIAL

CHAD HIRTLE MEMORIAL
Golf Tournament Entry Form

Please complete this registration form on - line then send check to:

Ray Edwards

584 Plymouth Street

East Bridgewater, MA 02333

Tel#(508) 378-3883

* Required fields
Name *
E-mail Address *
Name:
	Player $85 (inc: fees, cart & dinner) Dinner ONLY $10
Name:
	Player $85 (inc: fees, cart & dinner) Dinner ONLY $10
Name:
	Player $85 (inc: fees, cart & dinner) Dinner ONLY $10
Name:
	Player $85 (inc: fees, cart & dinner) Dinner ONLY $10
Flag Sponsor Name $100 per flag
Group Contact Person
Telephone #
Check Total:

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