Yes, I'd like to get on par with Open Pantry Services, Inc. to support Open Pantry's services, which assist people who are hungry, homeless, or disadvantaged in our community.

Saturday, October 5, 2002 at 11:00 a.m. Scramble format, Agawam Muncipal GC, $85 per person.

Entry deadline: September 16, 2002.

Player One Name: ________________________________________________ Telephone ______________________

Address: ___________________________________ City: _______________________ State: _____ Zip: _________

Player Two Name: ________________________________________________ Telephone ______________________

Address: ___________________________________ City: _______________________ State: _____ Zip: _________

Player Three Name: ________________________________________________ Telephone ______________________

Address: ___________________________________ City: _______________________ State: _____ Zip: _________

Player Four Name: ________________________________________________ Telephone ______________________

Address: ___________________________________ City: _______________________ State: _____ Zip: _________

___ Enclosed is a check made out to Open Pantry Community Services for $ ____________ for _____ golfers.

___ Please charge my card for __ Visa ___ Mastercard for $ _________ for ______ golfers.

Card # ____________________________ Expiration Date: ______________________

Signature: ________________________________________________________

___ I am unable to play in the tournament, but am enclosing a donation of $ _________________ to assist Open Pantry in providing services for people in need.

Please print out and mail registration form and payment to: