Team Captain Contact Information
Fill these out even if you are not signing up with a team. |
| First Name |
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| Last Name |
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| Address |
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| City |
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| State |
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| Zip |
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| Day Phone |
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| Email |
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| Payment Options |
| Cardholder Information |
Sponsorships |
| First Name |
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Dinner ($2000) |
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| Last Name |
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Lunch ($1000) |
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| Address |
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Breakfast ($500) |
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| City |
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Championship($300) |
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| State |
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Green Tee ($200) |
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| Zip |
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White Hole ($100) |
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| Phone |
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Cart ($50) |
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| Email |
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Other Donation: |
$ |
If you have a foursome, please list members.
(If not, we will put you in a group.)
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Number of Golfers
($100 per golfer): |
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| Indicate which tee time your group prefers: |
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| 8 A.M. |
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| 1:30 P.M. |
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| Either |
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Total: |
$ |
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