2. Tournament Registration
   Singles, doubles, and triples will be accommodated.
4. Foursome Name (Optional)
8. Registrant 1
10. Name*
12. Company*
14. Address*
16. City*
17. State*
18. Zip Code*
20. Phone*
21. Email*
25. Registrant 2
27. Name
29. Phone
30. Email
34. Registrant 3
36. Name
38. Phone
39. Email
43. Registrant 4
45. Name
47. Phone
48. Email
52. Tee Sponsorship Opportunities
54. I would like to be a tee sponsor ($100)

    1. Yes
    2. No
55. Name:
    Should appear as typed.
57. Total number of tee signs requested:
61. Raffle Tickets - Advanced Purchase Discount
    Raffle tickets may be purchased in advance:
    - 10 tickets for $20
    - Day-of-Tournament tickets will be priced at 10 for $25 (or $2.50 each)
63. Total number of tickets requested:
67. Payment Summary
    Upon receipt of registration the OEDC staff will contact Golfer 1 to confirm details and process invoice. Registrants may pay by cash, check or credit cards.
    
    For more information, please call Annemarie or Mary at 203-891-1045 or email the OEDC.
Leave This Blank:


69. 1. Receive an email copy of this form.
70. Email address

    This field is not part of the form submission.

71. Submit

* indicates a required field