Team Registration Form
Key West Golf Club

Saturday, October 11, Noon registration, 1:00 p.m. Tee-time

Team Name: I’m registering as a single. Please find me a team Please make a selection. We don’t have a complete team. Please find us more teammates! Please make a selection.

CART 1

Player 1

USGA handicap:
Name:	e-Mail:
Phone:	Address:

Player 2

USGA handicap:
Name:	e-Mail:
Phone:	Address:

CART 2

Player 3

USGA handicap:
Name:	e-Mail:
Phone:	Address:

Player 4

USGA handycap:
Name:	e-Mail:
Phone:	Address:

Registration Payment

Registration ($100/player or $400/team):

Form of Payment Cash Please make a selection. Check Please make a selection. Visa Please make a selection. MasterCard Please make a selection. Make checks payable to WomanKind, Inc.,, print and mail with this completed form to: Maggie Springer, WomanKind, Inc., 3142 Northside Drive, Suite 101, Key West, FL 33040 or leave at front desk of Pearl’s Rainbow, 525 United Street, Key West. If paying by credit card, complete the information below and fax this form to: Maggie Springer at 305-294-6043.

Name on card:
Credit Card #:	Expiration:

Yes! Please keep me updated about issues related to WomanKind, Inc.! Please make a selection.