Everett Golf and Country Club
1500 52nd Street SE
Everett, WA 98203
Friday, September 23, 2011
Registration at 11:30 AM, Start at 1:00 PM
Entry Deadline: September 21, 2011
Contact Gary Deiner: 206-931-2074
Golf and Banquet $160 per player
Banquet Only $40 each guest
Name: ______________________________________________________ Phone: ( ) ________________________
Company Name: ______________________________ Address: _____________________________________________
Sponsor? Y [] N [] Amount $ _________________
Phone Handicap
Index* Name of Banquet Only Guest
Player's Name _______________________________ _____________ ___________ ___________________________
Address __________________________________________________
Player's Name _______________________________ _____________ ___________ ___________________________
Address __________________________________________________
Player's Name _______________________________ _____________ ___________ ___________________________
Address __________________________________________________
Player's Name _______________________________ _____________ ___________ ___________________________
Address __________________________________________________
TOTAL ENCLOSED: $ ___________________ Rotary Foundation is a 501-c3 Charity. Your donation is taxdeductable.
*If Handicap Index is not known, then enter normal score for 18 holes.
Please make checks payable to Rotary Club of Lynnwood.