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Summer Bash / Golf Event (August 7, 2010)
                 Registration & payment by:                   Wednesday, July 7, 2010
                                           Cost: $25.00 per person

                      Golf includes: 9 Holes of Golf, refreshments on course, Tournament prizes
                      Note: Golf Cart optional at an additional cost




Class of 1973                       Class of 1974
Name: (First) ________________________(Last) _______________________________

(Maiden Name) _______________________________
(Please print as clearly as possible)


Make Check Payable to:      LCHS Class of 1973 Please mail to:          LCHS Class of 1973
                                                                        C/o Kim (J) Edwards
                                                                        98 Redington Street,
                                                                        Swampscott, MA 01907

Number of People Attending ___________

Spouse / Significant Other Name attending function with you:

(First) ____________________________       (Last) __________________ Handicap:___________

(First) ____________________________       (Last) __________________ Handicap:___________



Home Phone (Please include Area Code)      ___________________

Please provide email address for confirmation of receipt of payment)

Email Address (Home)________________________ (Work) ________________________


Comment:

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Golf Registration Form 7 Aug 2010

  • 1. Summer Bash / Golf Event (August 7, 2010) Registration & payment by: Wednesday, July 7, 2010 Cost: $25.00 per person Golf includes: 9 Holes of Golf, refreshments on course, Tournament prizes Note: Golf Cart optional at an additional cost Class of 1973 Class of 1974 Name: (First) ________________________(Last) _______________________________ (Maiden Name) _______________________________ (Please print as clearly as possible) Make Check Payable to: LCHS Class of 1973 Please mail to: LCHS Class of 1973 C/o Kim (J) Edwards 98 Redington Street, Swampscott, MA 01907 Number of People Attending ___________ Spouse / Significant Other Name attending function with you: (First) ____________________________ (Last) __________________ Handicap:___________ (First) ____________________________ (Last) __________________ Handicap:___________ Home Phone (Please include Area Code) ___________________ Please provide email address for confirmation of receipt of payment) Email Address (Home)________________________ (Work) ________________________ Comment: