Good Shepherd Services

Wall Street Challenge

Please join us on Tuesday, June 22nd, 2010 for the Good Shepherd Services 14th Annual Wall Street Challenge at Montclair Golf Club. For more information about the event click here. To register for this event please fill out the form below.

REGISTRATION FORM

Please fill out this form and click "send".
(* indicates required fields)

General Contact Information

First Name *

Middle Initial

Last Name *

Organization / Company *

Address (First Line) *

City *

State *

Zip *

Phone *

E-mail *

Golf Participation

First Foursome at $5,000

: Additional Foursome(s) $4,000 each

Tournament Player Information

PLAYER 1

First Name

Middle Initial

Last Name

Address (First Line)

City

State

Zip

Phone

Handicap

PLAYER 2

First Name

Middle Initial

Last Name

Address (First Line)

City

State

Zip

Phone

Handicap

PLAYER 3

First Name

Middle Initial

Last Name

Address (First Line)

City

State

Zip

Phone

Handicap

PLAYER 4

First Name

Middle Initial

Last Name

Address (First Line)

City

State

Zip

Phone

Handicap

How You Can Help /
Donate

Contact Information

For more information about the Wall Street Challenge, please contact Nicole Marie Boisvert in the Development Department:

Phone: 212-243-7070

Email: Nicole_Boisvert@goodshepherds.org