Wednesday,
May 21, 2014


The River Course at Queenstown Harbor


Queenstown,
Maryland


For more tournament information, contact:
Zaun Kligge, DVM
(c) 410-212-7660 (w) 410-956-2932
kligge.savh@gmail.com

For course information and
directions, visit:
www.qhgolf.com

 

 

 

GOLFER REGISTRATION FORM

Maryland Veterinary Foundation

22nd Annual Golf Classic

TOURNAMENT INFORMATION | SPONSORSHIPS | REGISTER | DIRECTIONS

To register for the Maryland Veterinary Foundation's Golf Classic as a participant only, please complete and submit this form.

To register as a sponsor, please click here.

I would like to register as an individual golfer - $140 before April 15, $150 after April 15

I would like to register a foursome - $540 before April 15, $600 after April 15

I would like to register for the banquet and auction only - $40

Participant Information

Participant Name

Practice/Company

Address

City

State Zip

 E-mail

   Cell Phone

If you are registering a foursome, please provide the names and e-mail addresses of all golfers

Golfer 2   E-mail   Cell Phone 

Golfer 3   E-mail   Cell Phone 

Golfer 4   E-mail   Cell Phone 

If you have non-golfers in your group who would like to attend the after-round events (banquet and silent auction), list them below. The cost to attend just these events is $30 per person. They will begin approximately 2 p.m.

Participant 1  

Participant 2  

Participant 3  

Participant 4  

Payment Information

Please charge $ to my: VISA   MasterCard   American Express

Card Number

Exp. Date (MM/YY)   CSC # (required What's this?

Cardholder name

Billing address

City    State    Zip

How did you hear about our Golf Classic?

IMPORTANT: If you have a disability or dietary need and require special accommodation in order to fully participate in this event, please include a written description below. We can only provide assistance if we have prior notice.

            

2014 Maryland Veterinary Foundation
PO Box 5407 l Annapolis, MD 21403 l phone: 410-268-1311 l fax: 410-268-1322 info@mdvf.org