Please print out this form and mail to the address listed below.

REGISTRATION FORM Complete and mail to address below no later than August 1st, 2007      _______     We have a foursome, see below.      _______     I (we) are not a foursome, match me/us with others. Our group includes ____________________________________________________ Telephone____________________ ____________________________________________________ Telephone____________________ ____________________________________________________ Telephone____________________ ____________________________________________________ Telephone____________________ Our contact person is ______________________________________ and can be reached at: Work telephone: ____________________     Home telephone: ________________ Amount enclosed at $120 per person __________________ Please make check payable to Guilford PBA, Inc. Mail this completed form and your check by August 1st, to: Guilford P.B.A. 19 for Paddy PMB 290 800 Village Walk Guilford, CT  06437 We won't be able to make it, but here's a donation to the scholarship in Pat's memory.          Amount $____________________ Raffle items of: ________________________________________________________ ________________________________________________________ ________________________________________________________ ________________________________________________________

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