6th Annual Dr. John Robert Kernodle
and
Ed Hicklin
Memorial Golf Tournament

Sponsored by:

Alamance ElderCare, Inc.

Sourwood Golf Course
Wednesday
April 28, 2004
Captain's Choice with
9:00 a.m. Shotgun Start

$50.00 per player includes:
golf fees, cart & lunch

For more information or to return entry form, contact:

Virginia Wilburn
Piedmont Natural Gas
P. O. Box 1758
Burlington, NC 27216
(336) 227-0120 x-2467

or

Brenda Porter
Alamance ElderCare, Inc.
P. O. Box 202
Burlinton, NC 27216
(336) 538-8080

Checks should be made to Alamance ElderCare

You may bring your own foursome or we will arrange pairing.

Name_________________ Phone______________Handicap_____

Name_________________ Phone______________Handicap_____

Name_________________ Phone______________Handicap_____

Name_________________ Phone______________Handicap_____

If you wish to SPONSOR a hole, the cost is $100. Please Check here____

Your Name_____________Name for Sign_____________________

Need to be billed?_____For hole Sponsor______For team________

Deadline for entry is April 21st, 2004

Thank You for Helping Alamance ElderCare

****Help the Elderly****