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The Crescent Moon

Registration will take place on Friday, April 28, 2017. Entries will be accepted by telephone only to the Golf Shop (631-421-5180) and will close once 66 teams have entered, all additional entries will be put on a waiting list in order of call in. Entries will be secured on a first-come, first-served basis. The Call-In procedure for the registration depends on your membership category: Proprietary Members with FULL Golf Privileges: Registration will begin at 10:00 am Associate Members: Registration will begin at 11:00 am Intermediate and Junior Members: Registration will begin at 12:00 Noon PLEASE NOTE: Practice Round is Thursday, June 8th. Eligibility All Proprietary and Associate golf members and their guests having a U.S.G.A. handicap are eligible to participate. The committee reserves the right to decline any entry. Intermediate and Junior members will be eligible if tournament is not fully subscribed by full members. Entry Form Please enter my team and charge my account $995 for entry fee. Entry fee includes an invitation for your team and spouses to Saturday night festivities . CRESCENT CLUB MEMBER: _____________________________ MEMBER ACCOUNT NUMBER: ________ GUEST INFORMATION (Please print): NAME: ____________________________________________________________________ ADDRESS: _________________________________________________________________ CITY, STATE & ZIP: ________________________________________________________ (Based on the above information, an invitation will be mailed to your guests.) GUEST’S CLUB AFFILIATION: _________________________________________________

GUEST’S CLUB AREA CODE & PHONE #: _____________________________________ GUEST’S HANDICAP INDEX (Decimal Point number): ____________________________ GUEST’S PERSONAL G.H.I.N. NUMBER (Usually a 6-7 Digit Number): _____________ (Please make every attempt to produce guest’s G.H.I.N. number for handicap verification purposes) PLEASE CHECK ONE: CART_____ CADDIE_____ BOTH_____ NOTE: Caddies may be scarce on Friday and will be assigned by lottery. PLEASE BE SURE TO FILL OUT ENTRY FORM COMPLETELY!!! ENTRY FORMS MUST BE COMPLETED IN FULL AND DELIVERED TO THE GOLF SHOP. ANY ENTRY FORM NOT RECEIVED BY SATURDAY, MAY 13, 2017 WILL RESULT IN WITHDRAWAL OF THE TEAM FROM THE TOURNAMENT. A WAITING LIST WILL BE USED TO FILL OPEN POSITIONS.