<BSDGA Registration Entry Form>

BSDGA 29th Annual Golf Tournament
Registration Form
Deadline Date
*****Postmarked by June 14, 2011*****

Sorry , No Refunds and NO Walk-in

You must be at least 18 years old to participate in competition.

Packages included green fees, cart, membership fee, and prize fee	$200.00	$
BSDGA membership fee without packages	$10.00	$
	Total


Name:
Address:
City/Town:	State/ZipCode:
Phone Number:	Email:

Please make check payable to BSDGA.

Mail to: Larry Kajen, BSDGA Treasurer 12 Avon Street Saugus MA 01906-4302