FAIRWAYS TWOSOME GOLF LEAGUE 2008

GOLFER #1___________________________________________

BIRTHDATE________________(mo/day)

ADDRESS _____________________________________________________________

(STREET) (CITY) (ST) (ZIP)

PHONE #_______________________________________

EMAIL_______________________________

(IMPORTANT TO RECEIVE CORRESPONDENCE)

GOLFER #2 ________________________________________

BIRTHDATE________________(mo/day)

ADDRESS _________________________________________________________________

(STREET) (CITY) (ST) (ZIP)

PHONE #_______________________________________

EMAIL_______________________________

(IMPORTANT TO RECEIVE CORRESPONDENCE)

Please print out, fill out and return with $35.00 per golfer Membership Fee payable to:

Fairways Golf & Country Club

SEND TO:

Belinda Cush

Fairways Golf & Country Club

750 Country Club Lane

Warrington, PA 18976