Register to Play

The cost is $175 per golfer ($700 per foursome)

Name:*
Phone:*
Email:*
Player #2:
Player #2 E-mail:
Player #2 Phone:
Player #3:
Player #3 E-mail:
Player #3 Phone:
Player #4:
Player #4 E-mail:
Player #4 Phone:

Comments:

NOTE: Please Send Payment via Return Mail

Mail Payment & Form to:
Two Ball Cane Golf Classic
c/o Russell W. George
189 London Drive
Hamden, CT 06517

Checks Payable to: Two Ball Cane Golf Classic

Please Register and Submit Payment Before September 12th.