team entry form

kiwgolflogo.JPG (72410 bytes)

Thursday, May 15, 2003 ~ Highlands Golfers' Club Course ~ $300 per team

Team Name:

__________________________________________

Contact Person:

__________________________________________

Address:

__________________________________________

City/State:

__________________________________________

Zip Code:

______________________________

Phone:

______________________________

Kiwanian:

__________________________________________

Team Members:

1.__________________________2.__________________________

3.__________________________4.__________________________

Tee Time Requested:

8:00 a.m.

1:00 p.m.

Entry confirmed with receipt of fee. Forms may be given to any Kiwanis Club member or mailed to :
Jim O'Connell, 159 Waterfront Dr., Colonial Heights, VA 23834

For more information, call: Jim O'Connell at 520-9476 or Frankie Lundie 520-4467

Sponsored by Colonial Heights Kiwanis Club.
Proceeds Go To Cancer Research at MCV Hospital.

Thank You For Your Support!