Century 21 New Millennium

Charity Golf Scramble

It's a SCRAMBLE, limited to the first 120 registered golfers. Registration is

$110 per player and must be received by May 29, 2009. Make checks
payable to "Bill Lesher C21NM-Golf".
To register call Bill Lesher at 703-201-7763.

PLAYER #1
Name*:

Phone:

Email:

PLAYER #2
Name*:

Phone:

Email:

PLAYER #3
Name*:

Phone:

Email:

PLAYER #4
Name*:

Phone:

Email:

*IMPORTANT NOTICE: Fort Belvoir is a U.S. Military Base, please allow time
to go through security. You MUST present a PHOTO ID with each golfer's
name as registered to access the base.