2011 PLAYER REGISTRATION FORM    Registration includes golf, lunch, dinner
September 26, 2011 - Antelope Valley Country Club Please fill in YELLOW AREAS
FOURSOME NAME:    
player one player 1 registration  
NAME   $165 Per Player
ADDRESS   Add'l Mulligan book $35  
CITY   ST   ZIP   Add'l Dinner for Guest $25  
PHONE   Grand Raffle ticket $100  
HDCP  
AVE. SCORE  
player two player 2 registration:  
NAME   $165 Per Player
ADDRESS   Add'l Mulligan book $35  
CITY   ST   ZIP   Add'l Dinner for Guest $25  
PHONE   Grand Raffle ticket $100  
HDCP  
AVE. SCORE  
player three player 3 registration:  
NAME   $165 Per Player
ADDRESS   Add'l Mulligan book $35  
CITY   ST   ZIP   Add'l Dinner for Guest $25  
PHONE   Grand Raffle ticket $100  
HDCP  
AVE. SCORE  
player four player 4 registration:  
NAME   $165 Per Player
ADDRESS   Add'l Mulligan book $35  
CITY   ST   ZIP   Add'l Dinner for Guest $25  
PHONE   Grand Raffle ticket $100  
HDCP  
AVE. SCORE  
TOTAL DUE:  $                  -  
EMAIL COMPLETED FORM TO: golf@avbgc.org
FAX COMPLETED FORM TO: 661-951-1322
MAIL COMPLETED FORM TO: A.V. Boys & Girls Club, P.O. Box 10047, Lancaster, CA  93584