MNF Rosemary Smith RN Memorial Golf
Tournament
Golfer/Sponsor Registration
To benefit
Scholarship &
Research Programs
for
Nursing &
Healthcare Professionals |
| |
| Please print this form, fill it out and send the registration and payment to: |
Massachusetts Nurses Foundation
340 Turnpike Street
Canton, MA 02021
781-821-4625 X745
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| Name: |
___________________________________ |
| Company/Hospital: |
___________________________________ |
| Street: |
___________________________________ |
| City: |
___________________________________ |
| State/Zip |
______, ______________ |
| Telephone: |
___________________________________ |
| E-mail: |
___________________________________ |
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| Reservations will be taken on a first-come basis with
payment only. For purposes of pairing, please print
the names of individuals in desired golf foursome. |
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___________________________________ |
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___________________________________ |
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___________________________________ |
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___________________________________ |
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| Golfer Registration
$125 per golfer |
| |
| Sponsorship Registration |
| ____ |
Patron: 1,200 |
| ____ |
Friend: 750 |
| ____ |
Pledge Book: 250 |
| ____ |
Hole Sponsor: 100 |
| ____ |
Other:________________________________ |
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| Luncheon Only |
|
| ____ |
$35 per person |
| Names of those attending luncheon only: |
| |
___________________________________ |
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___________________________________ |
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___________________________________ |
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___________________________________ |
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| Total Amount Enclosed: $__________ |
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|
| ____ |
Enclosed is my check made payable to MNF, Inc.
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| ____ |
Please charge my credit card (Mastercard or VISA only) |
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Mastercard # ________________________ |
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Expiration date: __________ |
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-OR- |
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VISA #______________________________ |
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Expiration date: __________ |
