2002 Hank Werner Annual Golf Tournament

At the Monroe Country Club

Registration Form


Name: ______________________________________________________________
(Please Print clearly)

____________________________________________________________________
(Optional) Institution/Company

____________________________________________________________________
Address City State Zip

Phone: _______________ Fax: _________________e-mail: ____________________

Handicap ______ or (Avg. score): A (70-80)">

2002 Hank Werner Annual Golf Tournament

At the Monroe Country Club

Registration Form


Name: ______________________________________________________________
(Please Print clearly)

____________________________________________________________________
(Optional) Institution/Company

____________________________________________________________________
Address City State Zip

Phone: _______________ Fax: _________________e-mail: ____________________

Handicap ______ or (Avg. score): A (70-80), B (81-90), C (91-100), D (100 +), E (non-golfer)(Circle one)

___ Sign me up for just dinner starting promptly at 4:30, at a cost of $30 per person,

Choice of: Circle choice Charbroiled New York Steak, Prime Rib, Chicken Cordon Bleu.

___ I want a Hank Werner Memorial Scholarship Golf Shirt at a cost of
$30 per shirt: __S __M __L __XL __XXL Circle size


__________________________________________________________________________________

Please include the names and phone numbers of additional members in your party on the back of this form.
__________________________________________________________________________________

Please make checks payable to: MWGSL or Hank Werner Memorial Scholarship Fund,
and send with this completed registration form to:
MWGSL Golf, PO Box 297, Monroe NY 10950 by April 30, 2002.


Proceeds collected from this event through, charitable contributions, go to yearly

scholarships awarded to graduating High School Seniors that are currently playing Varsity Softball in High School and/or have played in the Senior Division of the
Monroe-Woodbury Girls’ Softball League. This is done in Memory of Hank Werner.