ICAOCT Golf Classic
When: Sunday, March 22, 2009
Start time: 11:00 a.m. Start
Where: Mililani Golf Club
95-176 Kuahelani Ave
Mililani, HI 96789-1523
P: (808) 623-2222
F: (808) 623-9441
http://www.mililanigolfclub.com
Fees: $100 per golfer
Space are limited……First come – First serve
Players (please print)
1.--------------------------------------------------------------------------------------------------------------- name address phone #
2.--------------------------------------------------------------------------------------------------------------- name address phone #
3.--------------------------------------------------------------------------------------------------------------- name address phone #
4.---------------------------------------------------------------------------------------------------------------name address phone #
_____________________________________________________________________________________________
Total Amount of Check: $
Credit Card Registration :
Credit Card # Expiration Date:
Name of Cardholder_____________________________________________________________________
Signature of Cardholder/Authorization: ________________________________
Please mail completed golf Registration form & check made payable to:
IOACIS / ICAOCT
PO Box 612
N. Scituate, MA 02060-0612
or
Fax (781) 383-2434
For further information, please call Ben Leong - 617.968.2311 or email: icaoct@aol.com