Shred For Mikey Golf Outing
at Black
Bear Country Club
Wednesday, July 8th, 2009 2:00pm
Player Registration
Name:____________________________________________________________
Address:_________________________________________________________
_________________________________________________________________
Phone #:_________________________________________________________
E-mail Address: ________________________________________________
Number of players:____($150 each.)
Names of Additional Players:________________________________________________
________________________________________________________________
________________________________________________________________
Hole Sponsorship (Your Name, Business or Message at the Tee)
Name:___________________________________________________________
Address:________________________________________________________
________________________________________________________________
Phone #:_________________________________________________________
Cost:
$100 per hole
Name (or Message) to appear
at Tee: (please print)
________________________________________________________________
________________________________________________________________
(Check should be made payable to: Michael Ryan Fund)
Remit check to: Shred For Mikey, PO
Box 431, Highland Lakes, NJ 07422
