Team or Individual Golf Registration Form

Please print and fill out the registration from and return by mail or fax: 410.876.1023

Deadline to register: September 15, 2008

 

 

1. Team Captain: _____________________________________________________________

 

Phone: __________________________ Email ______________________________________

 

Company: ___________________________________________________________________

 

Contact for the tournament information: ____________________________________________

 

Phone: ________________________________ Fax: _________________________________

 

Email: ______________________________________________________________________

 

Address: ____________________________________________________________________

 

City: ________________________________________________ State: ______ Zip: ________

 

I would like to register a Team ___   Individual ___

 

 

 Team Members Names

 

 2. Team Member: _____________________________________________________________

 

Phone: __________________________ Email ______________________________________

 

3. Team Member: _____________________________________________________________

 

Phone: __________________________ Email ______________________________________

 

4. Team Member: _____________________________________________________________

 

Phone: __________________________ Email ______________________________________

 

The names of all team members will be needed by September 15, 2008. 

 

Amount Due: $ ___________________________ Check ____ Credit card: Visa ____ MC ____

 

Credit card # ______________________________________________ Exp Date: _____/_____

 

 

 

Please register by September 15, 2008  

Mail

Carroll County Chamber of Commerce

P.O. Box 871

Westminster, MD 21158

Fax: 410.876.1023