17th ANNUAL LEXINGTON SWINGERS GOLF CLASSIC REGISTRATION FORM

Print and mail this form! RETURN BY: September 4, 2009 Make money order or cashier's check payable to: The Lexington Swingers Golf Club, Inc. MAIL TO: The Lexington Swingers Golf Club, Inc. P.O. Box 11544 Lexington, KY 40576-1544

NAME:

ADDRESS:

CITY:

STATE:

TELEPHONE NUMBER:

ENTRY FEE :  $170.00 - if "postmarked" by September 4, 2009 ; $185.00  - if "postmarked" after September 4, 2009; Non Golfer/Guest Fee - $25.00  AMOUNT ENCLOSED: __________

EMAIL:

MEN (OPEN): _____   WOMEN: _____   SR. MEN (AGES 55 - 64): _____   GOLDEN SR. MEN (AGES 65 AND OVER): _____  NON GOLFER _____

Locations and Divisions:  Lakeside Golf Course (Open Men)          Tates Creek Golf Course (Sr.'s, Golden Sr.'s, Women)

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