Please print and enclose the following Registration Form and check payable to the

 Kimberton Lions and mail to:

Spring Hollow Golf Course

3350 Schuylkill Road

Spring City, PA  19475
Attn: Ernie Basile

For more information, call: (610) 948-5566

Number of Players:_______________ Amount Paid (See Note Below):______________

Contact Name:________________________________ Phone #____________________

Name(s) of Players:________________________     _____________________________

                           _________________________     _____________________________

  Note:  Amount Paid = $75.00 per Player or $280.00 per Foursome.