Name_______________________________ ASGA Chapter ___________Handicap_______
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 email@example.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 firstname.lastname@example.org
Your room will not be held until receipt of both the registration form and the $100 deposit.