Make a money order or check payable to: NEDGA and mail to: Art Moore, Treasurer
4 Bridlepath Road
West Simbury, CT 06092
Deadline: October 1, 2010
After October 1, 2010 - Golf Package @ $190.00
Money Order or Certified Check is required
Your Name:
______________________________________________________________
Address:
_________________________________________________________________
City:
_____________________________
State:
_________
Zip Code:
______________
Email:
__________________________________________________
Amount enclosed: ($170.00 or
$190.00 if after 10/1/2010
)
_________________
Circle one:
GHIN
or
Avg. Score
___________