Registration Form

Fun Golfers Pinehurst Trip

June 4-5, 2008

Reservation deadline is May 12, 2008.  $75.00 deposit per person due at time of registration.

Final balance is due no later than May 27, 2008. 

To register: Print and complete this form and return with deposit or full payment to:

Steve White
Raleigh Parks and Recreation Dept.
2401 Wade Avenue
Raleigh, NC 27607

Please make checks payable to : FUN GOLFERS

For more information call: 831-6851

Please check which trip options you are choosing:

_____ Golfing

_____ Non-golfer

NAME __________________________________________________

ROOMMATE NAME________________________________________

ADDRESS________________________________________________

ZIP CODE _______________________________________________

PHONE _________________________________________________

DATE __________________________________________________

NAME OF EMERGENCY CONTACT_____________________________

PHONE _________________________________________________

RELATIONSHIP __________________________________________

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