MENS THURSDAY NIGHT GOLF LEAGUE 2010

NAME_______________________________________________________________

ADDRESS __________________________________________________________

(STREET) (CITY) (ST) (ZIP)

PHONE # ____________________ EMAIL _______________________________

Please fill out and return with $25.00 Membership Fee payable to: Fairways Golf & Country Club

SEND TO:

Fairways Golf & Country Club

Attention: Joe L.

750 Country Club Drive

Warrington, PA 18976