Christine Twardzik Memorial Golf Outing

Entry Form

 

*Please complete all fields for each player participating

*Make check(s) payable to Christine Twardzik Foundation

*Return entry form and check to one of the following addresses:

 

Kevin Sidon

Andrew Twardzik

Ed Twardzik

86 Walden Ridge Drive

7082 Hawthorne Trace

8845 Chaucer Blvd

Hinckley, OH  44233

Independence, OH  44131

Broadview Heights, OH  44147

kevinsidon@hotmail.com

twardzik@gmail.com

ed_twardzik@hotmail.com

 

*Upon receipt of entry form AND check, an email confirmation will be sent to each player

 

PLAYER  1

 

Name

 

Address

 

Phone #

 

Email

 

 

PLAYER  2

 

Name

 

Address

 

Phone #

 

Email

 

 

PLAYER  3

 

Name

 

Address

 

Phone #

 

Email

 

 

PLAYER  4

 

Name

 

Address

 

Phone #

 

Email

 

 

DINNER ONLY GUESTS

 

1.

3.

2.

4.

     

 

TOTAL AMOUNT ENCLOSED

 

Number of Golfers:

 

x

$100

=

 

Number of Dinner Only Guests:

 

x

$50

=

 

TOTAL