Golfer 1:____________________________________ Address:____________________________________ Phone: _____________________________________ Golfer 2:____________________________________ Address:____________________________________ Phone: ______________________________________ Golfer 3: ____________________________________ Address:_____________________________________ Phone: ______________________________________ Golfer 4:_____________________________________ Address:_____________________________________ Phone: ______________________________________                          Amount Remitted: ____________

The 3rd Annual KJS Memorial Foundation Golf Tournament May 16th, 2009 Mays Landing Golf Course Please print out the following form and mail to: KJS Golf Tournament P.O. Box 2208 Vineland, NJ  08362 Call Chris Sciubba for more info: 856-881-6219