Pocono Mountain Regional EMS Golfer Sign-Up Form

MAY 31 2019

GOLF FUNDRAISER Presented by

CONTESTS 50/50 DRAWING RAFFLES ®

BUCK HILL golf club

270 Golf Dr, Buck Hill Falls, PA 18323

Jeanine Hofbauer

570.517.1792

infO@PMREMS.ORG

2019 Golf FUNDRAISER Person 4

Registration

11:30 am 12 noon

pm 1 6 pm

Registration Lunch The Fairway Grill at Buck Hill Shotgun Start Dinner* Upon Golfers Return The Fairway Grill at Buck Hill

100 per PLAYER includes GOLF LUNCH DINNER HURRY DEADLINE TO SIGNUP APRIL 30 $

Send this Form with Check Payable to Pocono Mountain Regional EMS Pocono Mountain Regional EMS, 135 Tegawitha Road, Tobyhanna PA 18466 Attn: Nick Dewitt Credit Cards Accepted Card# _______________________________Exp. Date _________ 3-Digit Security Code______

Player 1 Email Cell/Text for Updates Player 2 Email Cell/Text for Updates Player 3 Email Cell/Text for Updates Player 4 Email Cell/Text for Updates ®

FRIDAY MAY 31 2019 Jeanine Hofbauer

BUCK HILL GOLF CLUB 570.517.1792

info@PMREMS.ORG

270 Golf Drive Buck Hill Falls, PA 18323