K.O.M. Player Registration

First Player                                           Golf &      
Name                                                   Dinner        Social
         $80           $25
Address

City                             State       Zip         E-Mail Address
     

Second Player                                       Golf &      
Name                                                   Dinner        Social
         $80           $25
Address

City                              State      Zip         E-Mail Address
     

Third Player                                         Golf &       
Name                                                   Dinner        Social
         $80           $25
Address

City                              State      Zip         E-Mail Address
     

Fourth Player                                        Golf &       
Name                                                   Dinner        Social
         $80           $25
Address

City                              State      Zip         E-Mail Address
     

Additional Player #1                                  Golf &       
Name                                                   Dinner        Social
         $80           $25
Address

City                              State      Zip         E-Mail Address
     

Additional Player   #2                                Golf &       
Name                                                   Dinner        Social
        $80            $25
Address

City                              State      Zip         E-Mail Address
     

New Shirt!  2-Tone Maroon and White moisture-wicking Polo by Ultra-Club w/ Silk-Screen K.O.M. Logo - White stripe under arm.

                    Small          0 1 2 3 4 5
                    Medium       0 1 2 3 4 5  
                    Large          0 1 2 3 4 5  
                    X-Large       0 1 2 3 4 5  
                    2XL             0 1 2 3 4 5  
                    3XL             0 1 2 3 4 5

                        Price $25 Each

Order Summary

Golf & Dinner                    0 1 2 3 4 5 6 x $80 Each

Social                              0 1 2 3 4 5 x $25 Each

Hole Sponsor                     0 1 x $80 Each

Name for Sponsor Sign: 

Special Instructions, Notes (Team or players you would like to be with or close to)

                                                            
When completed ordering, push the "Submit Order" button below and your order will be entered. 

Please total your registration and make check payable to: Kyndle O. Mongeon Foundation.  Checks may be mailed to the below address:

Kyndle O. Mongeon Foundation
c/o Bonnie Mongeon
1243 Bronson Road
St. Albans, VT  05478 

If you want to fill out the registration by hand, you may use the printable registration form below - print both pages.  (.pdf files - readable by Adobe Acrobat Reader)
2008 Registration Form Page 1         2008 Registration Form Page 2       

Thank you for your support!

The Mongeon Family