Registration Form


Name_______________________________ ASGA Chapter ___________Handicap_______

Address ___________________________________________________________________

Phone:  Home _________________      Cell _______________        Work _______________

Male ___________       Female __________        E-Mail Address_______________________

Name of Roommate __________________________________________________________

Golf on Friday _____  Yes  _____No  Preferred Tee Time _____________ (between 1:00 and 1:45 pm)

Golf on Sunday _____Yes _____ No  Preferred Tee Time _____________ (between 9:06 and 9:51 am
                                                                                                                                 or 10:27 and 10:45 am)
All registered parties will be included in the golf event on Saturday

Check Appropriate Package:

$462.77 _____ Double Occupancy        $552.56 _____ Single Occupancy

Your BALANCE plus any additional charges made by you (if any) will be paid directly to the Lake
Morey Resort at the time of check out.
A credit card will be required at check in.  The Resort accepts
Visa, MasterCard or American Express. Check in time is 2 pm and check out time is 11 am.

Cancellations -  if cancelled at least 7 days prior to check in your deposit will be applied to
a future stay at the Resort within 1 year of cancellation.  Cancellations within 7 days of arrival will forfeit your
deposit.

To register complete this form and send it along with $100 check to ASGA - Central MA
Attn:  Jon Super, 24 Whitcomb Road, Bolton, Ma 01740.  To avoid fees we suggest you pay by check.  

If you choose to pay via PayPal use asgacmtreasurer@hotmail.com as the recipients email at the send
money screen.  You can either mail the registration form to Jon or email it to him at
jon-super@comcast.net

Your room will not be held until receipt of both the registration form and the $100 deposit.