First Name
*
I will be playing:
Golf
Tennis
I will be playing with:
Last Name
*
1
E-mail Address
*
2
Address
*
3
Address
City
*
State
*
Zip
*
Day Phone
*
Cell Phone
*
If you are joining through a sponsor please provide sponsor name
Deadline for sponsorship and registration is May 30
Sponsored by:
Price is $600 per golf player
$400 per tennis player
Bill Me
Please charge my card
American Express
VISA
MasterCard
Discover
Name on Card
*
Card Number
*
Exp. Date
*
mm/yy
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