Golfer Registration Form * Rutland Health Foundation

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Thank you for your participation in the 17th Annual
Rutland Health Foundation Golf Invitational. We look
forward to greeting you on Friday, September 24, 2010
at the beautiful Rutland Country Club on Grove Street
in Rutland. Registration begins at 8:30 a.m. with shotgun
start at 9:30 a.m. Please register your team by
September 1, 2010.

This year’s tee prize is a Glen Echo Wind Vest-this full zip sleeveless vest has a peached microfiber outer shell with dry gear/jersey lining. Color-Black with royal blue collar, Men’s sizes S-3XL and Ladies sizes S-XL. Please indicate your preference on the form below.

Tournament generously underwritten by:

Russell Investment Group

* Indicates a required field.

Company Name:*
Address:
City:
State:	Zip:
Telephone:*
Fax:
E-mail address:*
Contact Name:*


Golfer One:
Name:	Handicap/avg:
Address:
City:
State:	Zip:
Telephone:
E-mail address:


Golfer Two:
Name:	Handicap/avg:
Address:
City:
State:	Zip:
Telephone:
E-mail address:


Golfer Three:
Name:	Handicap/avg:
Address:
City:
State:	Zip:
Telephone:
E-mail address:


Golfer Four:
Name:	Handicap/avg:
Address:
City:
State:	Zip:
Telephone:
E-mail address:


Golfer Five:
Name:	Handicap/avg:
Address:
City:
State:	Zip:
Telephone:
E-mail address:

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