2012 Outing Registration Form
List foursome / Individual here.
Contact information Individual or for your foursome:
Email:
Telephone/Cell :
Method of Payment:
Make checks payable to :
Chip-A-While Scholarship Fund
Mail checks to:
504 Jefferson Street
Palmyra, NJ 08065
Chip-A-While Golf Club 501 (c) 3 non-profit organization. All donations are tax deductible.
Email us at generalinfo@chipawhile.org
website: www.chipawhile.org
Registration deadline:
May 31, 2012
$100.00 per Golfer
$10.00 online processing fee.
