Registration for Mada Cup 2012

REGISTRATION IS NOW CLOSED.
* Required fields
* First Name:

REGISTRATION FEES
Team (4)- $
500
Individual - $1
25

GUESTS
You may bring a guest(s) with you to cheer you on during the tournament. There will also be a buffet and silent auction at the conclusion of the tournament. Guest Fee $50.

If you need to contact David, please call 401.996.5233.

* Last Name:
Address:
Suite/Apt. # :
City:
State:
Zip Code:
* Phone No.:
* Email Address:

Select this box if you would like to be reminded of the event.
 
I would like to register as a:
Team (max. 4 players) Individual
TEAM SIGNUP
If you do not have a team of 4 players, we will pair you with additional players before the day of the event. Team of 4 Registration Fee - $500.00
Team Name:
I would like to play with the following individuals: Bringing a guest? Please enter your guests name below. Guest fee $50.
Player 1 :
Handicap:
Player 2 :
Handicap:
Player 3 :
Handicap:
Player 4 :
Handicap:
INDIVIDUAL SIGNUP
If you register as an individual, we will pair you with other players before the day of the event. Individual Registration Fee - $125.00

Bringing a guest?
Please enter your guest(s) name. Guests will be charged $50.
Name :
Handicap:
Guest:
   
PAYMENT

Please make check/money order payable to:
Friends of Adam Fund
 

Send check/money order to:
David Russas
c/o Friends of Adam Fund
124 Swan Road
Smithfield, RI 02917

   
 
   
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