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Location : CRESTVIEW COUNTRY CLUB, AGAWAM MA

Date:  07/28/17

Send email to signup to golf4als@comcast.net or print this page and send it with your check to:

Tucker - Golf4ALS

16 Windpath West

West Springfield, MA 01089

What's provided: 18 Holes Green Fees,Use of Facilities (locker rooms, showers, putting greens), Gratuities, Carts, Barbeque Lunch, Sitdown Dinner immediately after golf,  Fun, Free Surprises, Raffles, Prizes and More!! Cost:  $125
Format: Shotgun start, scramble format


Guest #1

Name:______________________________________________________________________________

Address_____________________________________________________________________________

City___________________________________________State________________Zip_______________

Telephone______________________________________Email_________________________________
Circle Dinner choice:  Steak or Chicken


Guest #2 
Name:______________________________________________________________________________

Address_____________________________________________________________________________

City___________________________________________State________________Zip_______________

Telephone______________________________________Email_________________________________
Circle Dinner choice:  Steak or Chicken



Guest #3   
Name:______________________________________________________________________________

Address_____________________________________________________________________________

City___________________________________________State________________Zip_______________

Telephone______________________________________Email_________________________________
Circle Dinner choice:  Steak or Chicken



Guest #4 
Name:______________________________________________________________________________

Address_____________________________________________________________________________

City___________________________________________State________________Zip_______________

Telephone______________________________________Email_________________________________
Circle Dinner choice:  Steak or Chicken


Thanks