van Zelm Engineers30th Annual Charity Golf Tournament

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Contact(Required)

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Email(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Please Note: If you have selected a Sponsorship Bundle you do not have to include your player group here. Only fill in groups if you wish to register additional groups outside of your Sponsorship Bundle.

Number of player groups

Player Group

Number of Players

Group Total

Price: $0.00

Player 1

First Last

Player 2

First Last

Player 3

First Last

Player 4

First Last

Player Group 2

Number of Players - Group 2

Group 2 Total

Price: $0.00

G2 Player 1

First Last

G2 Player 2

First Last

G2 Player 3

First Last

G2 Player 4

First Last

Player Group 3

Number of Players - Group 3

Group 3 Total

Price: $0.00

G3 - Player 1

First Last

G3 - Player 2

First Last

G3 - Player 3

First Last

G3 - Player 4

First Last

Payment Options

Pay online or by check - Please mail checks to: van Zelm Heywood & Shadford, Inc. - c/o Jeneen LaRosa - 10 Talcott Notch, Farmington, CT 06032

Your Total

(includes Player Registration, Selected Sponsorship, and Donations)

Payment Method(Required)

PayPal or Credit Card

By Mail in Check

Payment Method

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

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30th Annual Charity Golf Tournament

FRIDAY, JUNE 7, 2024 9:00 A.M. SHARP!!!
(SHOTGUN START) Scramble Format

Registration Deadline: May 24, 2024
Payment is expected at the time of registration online or by check:
CONTACT: (860) 284-5064 JENEEN LAROSA OR CHUCK STUART

Bundles

Sponsorships

Player Group

Player Group 2

Player Group 3

Payment Options

30th Annual Charity Golf Tournament

FRIDAY, JUNE 7, 2024 9:00 A.M. SHARP!!! (SHOTGUN START) Scramble Format

Registration Deadline: May 24, 2024 Payment is expected at the time of registration online or by check: CONTACT: (860) 284-5064 JENEEN LAROSA OR CHUCK STUART

Bundles

Sponsorships

Player Group

Player Group 2

Player Group 3

Payment Options

FRIDAY, JUNE 7, 2024 9:00 A.M. SHARP!!!
(SHOTGUN START) Scramble Format

Registration Deadline: May 24, 2024
Payment is expected at the time of registration online or by check:
CONTACT: (860) 284-5064 JENEEN LAROSA OR CHUCK STUART