New London Hospital: Golf Registration

I am the primary billing contact

Player 1

Golfer's First Name:

Golfer's Last Name:

USGA Handicap Index:

Company Name:

Home Club:

Address:

City:
State: Zip:

Phone:

E-mail:

I am the primary billing contact

Player 2

Golfer's First Name:

Golfer's Last Name:

USGA Handicap Index:

Company Name:

Home Club:

Address:

City:
State: Zip:

Phone:

E-mail:

I am the primary billing contact

Player 3

Golfer's First Name:

Golfer's Last Name:

USGA Handicap Index:

Company Name:

Home Club:

Address:

City:
State: Zip:

Phone:

E-mail:

I am the primary billing contact

Player 4

Golfer's First Name:

Golfer's Last Name:

USGA Handicap Index:

Company Name:

Home Club:

Address:

City:
State: Zip:

Phone:

E-mail:

Entry Fee: $300 per player
Foursomes will be reserved once all four players have paid in full.