GOLF APPLICATION FORM

Yes… We Are Coming To The Golf Tournament and Dinner

Monday August 10, 2009, Make Checks Payable to:

LIONS CLUB OF EAST LONGMEADOW 

 

NAME (1) ______________________________________________________________

 

ADDRESS ______________________________________________________________

 

CITY: _______________________________________STATE: ________ ZIP:__________

 

TELEPHONE ________________________________NUMBER OF GOLFERS ______

 

DINNER ONLY ______________________________AMT. OF CHECK ____________

 

(2)______________________ (3)____________________(4) ____________________  

$95.00 - (Dinner Only - $25.00)

Mail to: Bob Zumbruski, 23 Edwill Road, East Longmeadow, MA 01028


 
Visit us at our website:   http://www.lions-33y.org/clubs/eastlongmeadow.html