ON-LINE REGISTRATION

For online registration, please fill out the form below or download the registration form and mail to:
Ali Schwebel c/o Jeffrey A. Schwebel Memorial Foundation
4129 N. Prospect Ave, Shorewood, WI 53211


Please register by June 11th 2010 (limited to first 144 golfers).
$150 per golfer, includes dinner.
$35 per additional dinner guest.
Please be sure to specify T-shirt sizes for all golfers.

Thank you for your support.

* Denotes a Required Field.

1st Golfer and Optional Dinner Guest

Additional Golfers and Optional Dinner Guests
  Full Name Golfer's T-shirt Size Dinner Guest's Full Name
(Optional: $35 Extra per Guest)
2nd
Golfer
3rd
Golfer
4th
Golfer


For more information, please contact Ali Schwebel at: 414.759.4817