The 3rd Annual Celebration for Chelsea Golf Classic/Dinner will be held on September 6, 2010

at Kimberton Golf Club
162 Ridge Road,
Phoenixville, PA
610-933-8836

Please use the form below to register. Online payment is easy to use with or without a Paypal account. More than 4 guests? Simply register up to 4 at a time.

Alternatively, you can download the Registration Form in Adobe Acrobat to print and fill out and mail. This application also allows for "dinner only" and other sponsorship programs.

The cost for each Dinner Reservation is $50.

Dinner Guest #1 Information

Diner 1 Name
Diner 1 Address
Diner 1 Email

 
Dinner Guest #2 Information

Check for a second diner
Diner 2 Name
Diner 2 Address
Diner 2 Email

 
Dinner Guest #3 Information

Check for a third diner
Diner 3 Name
Diner 3 Address
Diner 3 Email

 
Dinner Guest #4 Information

Check for a fourth diner
Diner 4 Name
Diner 4 Address
Diner 4 Email