Fore Mental Health Golf Tournament

Player Registration is Open! Register now!

OUR TEAMS ARE NOW FULL!

Please contact our organizer Polly Manosh for waiting list - [email protected] or call (802) 279-8140

If you have reserved a spot as a team or player, please fill out form with your information and payment.

Thank you for supporting this great cause!

If you have any questions or issues filling out this form, please contact [email protected] or call 802-888-5026 ext. 103 (Luciana)

For questions regarding the tournament, please contact [email protected] or call (802) 279-8140 (Polly) and/or [email protected] or call (617) 834-1858 (Jerrine)

Fore Mental Health Golf Tournament

First Name (Required)

Last Name (Required)

E-mail Address (Required)

Phone Number (Required)

Organization

I am a (Required)

l2mfwvra2t9q

Additional Notes (please include all players names)

Payment Information

Please confirm TOTAL dollar amount (Required)

*Please Use Numerical Value. Do Not Use Dollar Sign $

Credit Card Information

Cardholder Name (Required)

Credit Card # (Required)

Expiration Date (Required)

Security Code (Required)

cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

Billing Zip Code (Required)

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged

LCMHS is a 501(c) 3 organization so your monetary donations are deductible as charitable donations for federal income tax purposes.

If you are mailing a check, please mail the check to payable to LCMHS to:

LCMHS

Attn: Golf Tournament 2021

72 Harrel Street

Morrisville, VT 05661