2013 Tournament Player Registration Form

 

Please complete ALL information and return with your check to

Holy Name Society Golf Tournament

St. Mary R.C. Church

94 Walnut Road, P.O. Box 189

Hamburg, PA 19526-0189

 

Registration deadline is June 5

 

Please Print

Name:  _____________________________

Address:  ___________________________

                ­­­­­­­­­­­­­­­­­­­­­­­­­___________________________

Phone:    ____________________________

Email:    ____________________________

Steak  _____   or     Chicken  _____

 

Name:  _____________________________

Address:  ___________________________

                ­­­­­­­­­­­­­­­­­­­­­­­­­___________________________

Phone:    ____________________________

Email:    ____________________________

Steak  _____   or     Chicken  _____

 

Name:  _____________________________

Address:  ___________________________

                ­­­­­­­­­­­­­­­­­­­­­­­­­___________________________

Phone:    ____________________________

Email:    ____________________________

Steak  _____   or     Chicken  _____

 

Name:  _____________________________

Address:  ___________________________

                ­­­­­­­­­­­­­­­­­­­­­­­­­___________________________

Phone:    ____________________________

Email:    ____________________________

Steak  _____   or     Chicken  _____

 

Number of additional dinners at $15.00 each

Steak  _____   or     Chicken  _____