One form per person. Please print, then mail or fax as stated below,
this form cannot be completed online!
Active Allied Associative Honorary Retired Student Non-Member
Last Name _________________________ First Name ____________________________ Middle Initial ____
Facility/Company/Affiliation __________________________________________________________________
Address ____________________________________________________________________________________
City __________________________________  State ______________________________  Zip ____________
District #__________   Spouse  Personal Companion     Name ___________________________
Telephone _______________________   Fax _________________________   Email ____________________
Please indicate your shirt size:   M   L   XL   XXL
Indicate disability or any religious dietary restrictions: __________________________________________
Golf Tournament

Sunday,April 28,2002,11:30 am
Golfer’s target play will be challenged on the championship North Course at nearby Turf Valley Resort. Turf Valley features a variety of other amenities and options for your golfing pleasure, including a nearby putting green and driving range, a private gazebo area, and a fully stocked Pro Shop offering everything from rental sets to personalized gift merchandise. Turf Valley is a soft spike facility.
Handicap ________     I would like to play with 1. __________________________
2. __________________________
3. __________________________
I have transportation to the course        I will ride the complimentary shuttle to the course
FEE: $110 includes greens, carts, bag service, range balls, cart preparation, scoring, yardage leaflets, and golf gifts.
Facility Tours
If you would like to participate in the following facilities tours, please indicate in the box(es) a count of how many will attend:

Friday
April 26
1:00 - 5:00 pm

 Oriole Park at Camden Yards

Saturday
April 27
1:00 - 5:00 pm

 Maryland Science Center
PSI Net Stadium Harborplace Shopping
National Aquarium Morris A. Mechanic Theatre
Method of Payment
Make checks payable to:
IAAM District Conference
Return this form and full payment (US funds only) to:

Domenick B. Sicilia, Director
Bob Carpenter Center
University of Delaware
Newark, Delaware 19716
••• FAX: (302) 831-4019 •••
  If postmarked
on or before March 29		 if postmarked
after March 29		 Amount
Member 200.00 235.00 _____
Non-Member 255.00 280.00 _____
Spouse/Companion/Student 55.00 55.00 _____
Golf 110.00 110.00 _____
Total Registration Fees     _____

Cardholder _________________________________________________________
Number ______________________  Exp Date _______    Check One:  American Express   MasterCard     Visa
Signature __________________________________________   Date _____________

Requests for refunds must be received in writing prior to April 10, 2002 for refund less $30 processing fee; between April 10 and April 19, 2002, 75% refund. No refunds after April 19, 2002. Fax registrations MUST include credit card information and must be signed.