WashingtonPotomac Chapter, AAAA

1
Washington-Potomac Chapter, AAAA AHS, Federal
City Chapter AAAA Scholarship Fund Annual Spring
Scramble Tournament Ft Belvoir, Virginia
Gunston Course (North Post) WEDNESDAY, 20 APRIL
2005
0700 hrs Open Range 0800 hrs Shotgun Start
(Beverages provided during Tournament) 1300 hrs
Luncheon and Awards Ceremony REGISTRATION FORM
Team Captain ____________________________________
___________________________ Name
Address Phone
Number(s) E-mail Please indicate
DoD GS or Active Duty Military w/ grade or
Civilian Status beside name. (Please print)
Captain ______________________________ Handicap
_____ Email________________ Player 2.
_____________________________ Handicap _____
Email________________ Player 3.
_____________________________ Handicap _____
Email ________________ Player 4.
_____________________________ Handicap _____
Email ________________
FEES 85.00 Per Player for Civilian, Retiree,
Contractors 70.00 Per Player - Active Duty or
DOD Civilian above E-5 and GS-6, 55 below
E-5/GS-6 Includes Greens Fee, Golf Cart, Open
Range, BBQ Lunch and Beverages Please send your
check with this entry form payable to
Washington-Potomac Chapter, AAAA to Mr. Don
Wellen, 6512 River Tweed Ln, Alexandria, VA 22312
POC Don Wellen Work [phone] Cell
[phone] FAX [phone] E-mail
dwellen1_at_aol.com Alt POC CW3 Alan Arcara Work
703-806-7151Cell 202-413-2951 E-mail
alan.arcara_at_osaa_arng. belvoir.army.mil
NOTE Limit of first 32 Teams/128 Players
Paid Entry Fee Reserves Position
Corporate Sponsorships Welcome 175 per Hole or
500 per Hole w/ Team Corporate Sponsors
Yes, _____________________________________________
______ wishes to sponsor ______ hole(s) _at_ 175
per Hole or______ teams _at_ 500 per Hole w/1 Team.
Enclosed is our check in the amount of _______
for a Hole Sponsorship(s). Checks should be made
out to Washington-Potomac Chapter, AAAA
Electronic Corporate Logo is ____ is not ____
enclosed for use on sponsor signs FOR OFFICIAL
USE ONLY HOLE ASSIGNED _______ FEES
RECEIVED WITH THIS ENTRY FORM _________