registration form by T4nRGwP

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									                        Monday June 13th, 2011 @ 8:30AM
                                      www.wenhamcountryclub.com

                           Tee time 9:00 am – Registration 8:30am

         All proceeds will be donated to: The Brian Hiltz Jr. Memorial Fund,
              Make-A-Wish, Dracut Pop Warner, Woburn Pop Warner &
                           Brian Hiltz Jr. Scholarship Fund

                                $125 per person cost includes:
                               18 Holes, Cart Rental and Lunch

                                   Sponsorship Opportunities
                                   $250 – Hole Flag and Sign
                                      $100 – Tee Box Sign
                                 All sponsors will be published in brochure


                               Gold Package includes:
                  4 Golfers, Hole Flag, Tee Box Sign, Windbreakers
                10 – 50/50 Raffle tickets, 4 – Mulligans, 1 – String bag

                            Raffles – Sox tix, 42” HDTV and more!
                                Silent auction and 50/50 raffle

                  Visit our website at: www.brianhiltzjrmemorial.com

                        -------------------Registration Form-------------------

Player Name     Shirt      Email                          Player Name           Shirt    Email
                Size                                                            Size




                    $125 – Individuals                $250 - Hole Sponsor
                           $1000 - GOLD PACKAGE  $100 - Tee Box Sponsor
                                                       st
              Early Bird Special – Pay in full by May 1 and receive 5% off (118.75 per person)

                                          Total Donation ____________

                                       Mail Form and Payment to:
                                103 Meadowcreek Drive, Dracut, MA 01826
                            Checks payable to: The Brian Hiltz Jr. Memorial Fund
                                  REGISTRATION DEADLINE – MAY 31st

								
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