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Name
*
$
First Name
Last Name
$
One Time
Recurring
Address
*
$
Address Line 1
Address Line 2
City
State
Zip
$
One Time
Recurring
Email
*
$
$
One Time
Recurring
Phone
*
$
$
One Time
Recurring
Golf Entry - Individual
*
$
$
x $150.00
One Time
Recurring
Handicap/Index
*
$
$
One Time
Recurring
Golf Entry - Foursome
*
$
$
x $600.00
One Time
Recurring
Foursome Participants (list names, handicap/index)
*
$
$
One Time
Recurring
I will cover the 3% processing fees.