HAWLEY-LAKE WALLENPAUPACK

CHAMBER OF COMMERCE PRESENTS

19TH ANNUAL ICE TEE GOLF TOURNAMENT

SPONSORED BY

 EHRHARDT'S WATERFRONT RESTAURANT, SCULTPED ICE WORKS, INC., YUENGLING, and BANKO BEVERAGE CO.

 Sunday, February 24, 2008

~ One form will accommodate 6 players; please make copies if your group has more than 6 ~

NAME:_____________________________________________________________________

(PLEASE PRINT CLEARLY)

ADDRESS:__________________________________________________________________

DAYTIME TELEPHONE:____________________ALTERNATE #____________________

# IN PARTY______________________

TEE TIMES: BEGINNING AT 9 AM - EVERY 10 MINUTES UNTIL 1 PM.   AWARDS CEREMONY TO TAKE PLACE AT APPROXIMATELY 2 PM IN EHRHARDT'S WATERFRONT

PLEASE LIST PREFERRED TEE TIMES

1ST CHOICE- TIME________________________________________

2ND CHOICE-TIME________________________________________

3RD CHOICE-TIME________________________________________

4TH CHOICE-TIME________________________________________

NAMES & ADDRESSES OF OTHERS IN YOUR GROUP: (PRINT CLEARLY)

1.__________________________________________________________________

2.__________________________________________________________________

3.__________________________________________________________________

4.__________________________________________________________________

5.__________________________________________________________________

SIGNED__________________________________________DATE__________________

PLEASE INCLUDE A CHECK IN THE AMOUNT OF $15.00 ($20 PER PERSON ON EVENT DAY) PER PARTICIPANT WITH THIS FORM. MAKE CHECKS PAYABLE TO:

HAWLEY-LAKE WALLENPAUPACK
CHAMBER OF COMMERCE
PO BOX 150
HAWLEY PA 18428
570-226-3191 (MasterCard & Visa accepted in advance - not on event day)