Friday June 22^th, 2012

Candia Wood Golf Links – Candia NH

Registration 7:30 – 8:30 AM

Shotgun Start 8:30 AM

Golfer Registration Form

Main Contact/Player 1: _______________________________________

Address: ________________________________________

City: ________________________ State______ Zip __________________

Phone: _____________________________

Email: _____________________________

Player 2: __________________________________________

Player 3: __________________________________________

Player 4: __________________________________________

Entry fee is $150 per golfer. Please mail this form and check payable to NH Freedom Cup to:

NH Freedom Cup Golf Tournament

C/O Mr. Len Ouellette

21 Rita Ave., Derry, NH 03038

All proceeds go to provide financial support to active military, their families, and veterans of Iraq (OIF) and Afghanistan (OEF).