Print this page and check whichever box that applies to you.

Mail your printed form Before May 22nd to:

Pete Scott
302 North Ave.
West Seneca, NY 14224

If you’ll be attending either the Birthday Party or the Golfing, don’t forget to include your check for the appropriate amount. Please make your check payable to Pete Scott.

______Yes. I plan on playing golf for $65.00, which includes my fee for the post golf ffod and drink.

______No. I cannot attend this year, but keep me advised of future activities.

Name: __________________________________________.

Address:_________________________________________.

City: _________________________. St. _______. Zip:_______________.

Home Phone: _____________________________.

Cell Phone: _______________________________.

E-mail:____________________________________.

If you have any questions, contact:
 Pete Scott:
coachpetescott@gmail.com or call at: 716-913-3978

Or

Gene Hull:
frisicaro@roadrunner.com or call at: 716-634-5978