SUNCOM - Helping people with disabilities reach their potential

Golf Tournament Player Registration Form

If you're registering as a Corporate Player please fill out the first section, otherwise you can skip it.

Name/Company:
Address:
City:
State
Zip
Telephone:

Player #1

First Name:
Last Name:
Shirt Size:
Address:
City:
State:
Zip Code:
Email Address:
Telephone:

Player #2

First Name:
Last Name:
Shirt Size:
Address:
City:
State:
Zip Code:
Email Address:
Telephone:

Player #3

First Name:
Last Name:
Shirt Size:
Address:
City:
State:
Zip Code:
Email Address:
Telephone:

Player #4

First Name:
Last Name:
Shirt Size:
Address:
City:
State:
Zip Code:
Email Address:
Telephone:

Additional Information

After submitting the registration form,
please forward a check in the amount of $110 per player.

Please make all checks payable to:

Suncom Industries, Inc.
Re: Golf Tournament
PO Box 46
Northumberland, Pa. 17857

Deadline for registration and payment is: June 12, 2017.

  

 

To pay by credit card, or if you have any questions,
please call (570) 473-8352 and ask for Brenda Brubaker.

 

Suncom - Helping people with disabilities reach their potential

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