Golf Tournament Individual and Foursome Registration:

Thank you for your interest in the 2022 New Hampshire Medical Society Golf Tournament!

Individual Registration = $225.00
Foursome Registration = $800.00

Pay by check or credit card (please call the office for credit card payments)

Please fill out the information below:

Name of Player 1 or Individual Registration *

First

Last

Company *

Phone *

Email *

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Name - Player 2

First

Last

Phone - Player 2

Email - Player 2

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Name - Player 3

First

Last

Phone - Player 3

Email - Player 3

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Name - Player 4

First

Last

Phone- Player 4

Email - Player 4

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Payment Options *

• I will mail in a check - Individual Registration = $225.00 Foursome Registration = $800.00
• I will call in a credit card - Individual Registration = $225.00 Foursome Registration = $800.00
• Other please contact me

This golf tournament registration is submitted by: *

First

Last

Submit