Action Associates
Annual Easter Seals/UCP Golf Classic
Date: to be determined for 2010
Time: 1:30 PM Shotgun Start
Course: Emerald Golf & Country Club
New Bern, NC
Format: Captain’s Choice (Superball)
Entry Fee: $65 Per Person & includes Green Fees, Cart, Mulligan’s, Gold tees, Red tees, Door Prizes, Pig Pickin’ with all
the trimmings & beverages
Register Now!
3 Flights by handicap
PRIZES AWARDED FOR:
1st Place Gross & Net in each flight
Closest-to-the-pin
Longest Drive
REGISTER EARLY
Hole in one prize $ 10,000
USGA Rules of Golf govern all play
except as amended by local rules

Action Associates
2009
Annual Easter Seals/UCP
Golf Classic
Registration Form
(Please Print or Type)
Make Checks Payable to Century21Easter Seals
Complete & fax, email or mail to:
Century 21 Action Associates
1904-C S. Glenburnie Rd.
New Bern, NC 28562
252-633-0075
Fax: 252-633-0095
Email: richard@c21actionre.com
TEAM CAPTAIN
NAME:______________________________________
ADDRESS:___________________________________
_____________________________________________
EMAIL:_____________________________________
BEST PHONE #:______________________________
Handicap, if any, and where it’s registered:_____________
TEAM MEMBER #2
NAME:______________________________________
ADDRESS:___________________________________
_____________________________________________
EMAIL:_____________________________________
BEST PHONE #:______________________________
Handicap, if any, and where it’s registered:_____________
TEAM MEMBER #3
NAME:______________________________________
ADDRESS:___________________________________
_____________________________________________
EMAIL:_____________________________________
BEST PHONE #:______________________________
Handicap, if any, and where it’s registered:_____________
TEAM MEMBER #4
NAME:______________________________________
ADDRESS:___________________________________
_____________________________________________
EMAIL:_____________________________________
BEST PHONE #:______________________________
Handicap, if any, and where it’s registered:_____________