Please print this form and mail to event coordinator listed in the event description.

NOTE:  YOU MAY NEED TO PRINT USING LANDSCAPE ORIENTATION FOR BEST RESULTS

EVENT:___________________________________________________

Event Date: _____________________

Your Name: ________________________________ Email: _____________________________

Phone Number: _________________________ Index/Avg Score (if golf event): ________

Please Indicate Event Options as needed (See on-line registration form for event for details):

Please make checks payable to EWGA.

NOTE:  If you prefer to pay by credit card, please use the on-line registration and payment.