Small Table Registration Form - Chartwell Country Club

2024 LADIES HOLIDAY LUNCHEON
SMALL TABLE REGISTRATION FORM
Registration for Individuals and Tables of 6 or Less

Please be sure to accept the acknowledgment at the bottom of this form.
If this is not selected you will receive an error message and your form will not be submitted.

Seat 1 - Table Captain Name:*	Individual Registration Requests should complete the Table Captain portion of this form.
Table Captain Membership #:*
Table Captain E-mail:*
Table Captain Phone #:*	()-First three digitsSecond three digitsLast four digits
Seat 2 - Member Name:
Seat 2 - Member #:
Seat 3 - Member Name:
Seat 3 - Member #:
Seat 4 - Member Name:
Seat 4 - Member #:
Seat 5 - Member Name:
Seat 5 - Member #:
Seat 6 - Member Name:
Seat 6 - Member #:










Acknowledgement:*	I understand that submitting this Table Request Form does not confirm my reservation for the Ladies Luncheon, and that I will be notified with Registration Confirmation or Wait List status by email on Thursday, November 14.
Additional Requests: