KEVIN J. SMITH MEMORIAL SCHOLARSHIP FUND

Golf Outing Registration

2017 Golf Outing Registration

Please fill out the below details to sign up for the 2017 Memorial Golf Outing, taking place on Thursday, September 21st at the Willow Creek Club.

The day includes: 18 holes of golf
($195) Free beverage cart on course                  Barbecue lunch
Cocktail Hour with hors d’oeuvres            Dinner: Buffet, coffee, dessert            Open bar
(Dinner can be ordered separately for those not golfing - $70)

First Name: *
Last Name: *
Address Street 1: *
Address Street 2:
City: *
Zip Code: *	(5 digits)
State:
Phone: *
Evening Phone:
Email: *
Will you be golfing or just coming for dinner?:
Would you like to sign up a foursome golf team?:
If so, please list your team members, including yourself, if applicable.:
Will you be paying via check or online payment?:
Comments:	Enter comments here!

*If paying via check, please make payable to: FF Kevin J. Smith Memorial Fund and mail to,

FF Kevin J. Smith Memorial Fund
PO Box 42
Old Westbury, NY 11568

Or pay via paypal: