REGISTRATION FORM >Please print page and submit by Sept.7th
Mail to
 Fumiatti Golf Tournament  P.O. Box 862  North Haven,CT,06473
Make checks payable to " Fumiatti Children's Fund "
Questions? email  
silk@fum24.com  
THE 5th ANNUAL
ROBERT V. FUMIATTI
MEMORIAL GOLF TOURNAMENT
MONDAY, SEPTEMBER 26th, 2011
PLAYER REGISTRATION FORM
We expect a full field again so register early!!!!!!!!!!!!!!!
($150.00 Per Person    Deadline: September 6th, 2011)

1. Player:______________________ Phone:____________
Street Address:___________________________________
City, State, Zip Code:_______________________________
Email:____________________________________________
Shirt size:________________________________________

2. Player:______________________Phone:_____________
Street Address:___________________________________
City, State, Zip Code:_______________________________
Email:____________________________________________
Shirt size:________________________________________

3. Player:______________________ Phone:____________
Street Address:___________________________________
City, State, Zip Code:_______________________________
Email:____________________________________________
Shirt size:________________________________________

4. Player:______________________ Phone:____________
Street Address:___________________________________
City, State, Zip Code:_______________________________
Email:____________________________________________
Shirt size:________________________________________


TOURNAMENT WILL BE HELD RAIN OR SHINE
NO REFUNDS
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