NEPC Annual Golf Tournament

PLAYER APPLICATION

Entry Fee: $225.00 per player

Foursomes registered and paid before July 4th
will save $50 per foursome.

Player 1
Address
City
State	Zip
Phone
Email
.

Player 2
Address
City
State	Zip
Phone
Email
.

Player 3
Address
City
State	Zip
Phone
Email
.

Player 4
Address
City
State	Zip
Phone
Email
.
Sponsorship Yes, I'm interested in sponsoring at this year's NEPC Golf Tournament, please contact: .
Contact
Phone
Email
.

Payment Options: Credit Card Pay by Check Please Invoice

Entry Fee: $225.00 per player

Credit Card: MasterCard VISA American Express

Cardholder's Name
Charge Amount $	($225 per player)
Credit Card No.
Exp. Date
CVC Code (on back)

Check Payment - please mail checks to:
NEPC, 7 Gloria Circle, Burlington, MA 01803

Register by Fax or Online: Send registration form to our fax.
Fax line is open 24 hours. You will be invoiced for your entry fees.
Fax: (781) 273-4154