2010 Tournament Entry Form
Aroostook Valley Country Club

PO Box 327
Fort Fairfield, Maine 04742

or

PO Box 3201
Perth-Andover, NB E7H 5K3

Call 1-800-980-8747 to confirm your entry

Fields with an asterisk(*) are mandatory:

Name*:

Index*:         Home Club*:
                     

E-mail address:

Home Address:


Indicate method of Payment*:
Cash/Cheque (DO NOT MAIL CASH)
VISA
MasterCard

Card No*:

Name on Credit Card*:


Signature*: _________________________________________________________

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