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Golf Registration Form
Contact Information
Your Name *
Email *
Phone *
Company
Team Information
Team Name *
Number of Players *
One Individual
Two Player Team
Three Player Team
Four Player Team
Golf Package
1 Person $125
2 Person $250
3 Person $375
4 Person Team $500
4 Person SILVER Sponsor Package $600
Which golf package would you like?
Mulligan Package
No
1 Person Mulligan $25
2 Person Mulligan $50
3 Person Mulligan $75
4 Person Mulligan $100
Do you wish to add a mulligan package?
Player 1
Name
Company
Player's Address
Handicap/Normal Score
Player 2
Player 2 (If applicable)
Player's Address
Handicap/Normal Score
Player 3
Player 3 (If applicable)
Player's Address
Handicap/Normal Score
Player 4
Player 4 (If applicable)
Player's Address
Handicap/Normal Score
Payment
Payment Method
Credit Card
Check
Bill Me Later
Billing Address
Required for "Bill Me Later"
Enter the black characters only *