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

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 as the recipients email at the send
money screen.  You can either mail the registration form to Jon or email it to him at

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