Player Entry Form

Deadline for Registration and Payment is May 21, 2008

Players

#1 _____________________________________________

#2 _____________________________________________

#3 _____________________________________________

#4 _____________________________________________

Single golfers will be paired

Organization ___________________________________

Contact Name ___________________________________

Address ________________________________________

City _____________________ State ____ Zip_______

Phone ____________________

Amount Total $ ___________

Make checks payable to CGCC Golf.

MC/VISA _________________________
Expiration Date ______________
Signature _________________________

Mail Entry form to
CCGC
Attn: Mary Gracyalny
317 North Main St.
Manchester, CT 06042