Kennebec Valley Chamber

Serving the Kennebec Valley, Maine Region

Registration @ $130 per golfer/$520 per foursome

Register as an individual or as a team. Registration includes the following:

	ENTRY FORM FOR CAPTAIN OR FIRST MEMBER OF TEAM - all information must be completed
Name(*)	Invalid Input
Organization	Invalid Input
Mailing Address	Invalid Input
Handicap	Invalid Input
or average 18-hole score	Invalid Input
Phone	Invalid Input
Email Address(*)	Invalid Input
	OTHER TEAM MEMBERS
Name	Invalid Input
Handicap	Invalid Input
or average 18-hole score	Invalid Input
Name	Invalid Input
Handicap	Invalid Input
or average 18-hole score	Invalid Input
Name	Invalid Input
Handicap	Invalid Input
or average 18-hole score	Invalid Input
	Score Enhancing Package: 1 String, 1 Skirt, 1 Mulligan, and 1 entry into the Putting Contest. Pre-buy Package at $20 per person or that day at $25 per person.
Players Being Paid For	Invalid Input
Packages Being Purchased	Invalid Input
Total	0.00 USD
	Credit Card Information
First Name	Invalid Input
Last Name	Invalid Input
Company Name	Invalid Input
Address	Invalid Input
City	Invalid Input
State	Invalid Input
Zip Code	Invalid Input
Phone	Invalid Input
Credit Card #	Invalid Input
CVV Number	Invalid Input
Exp Month	Invalid Input
Exp Year	Invalid Input
Please verify you are human.(*)	Invalid Input