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Name
*
$
First Name
Last Name
$
One Time
Recurring
Address
*
$
Address Line 1
City
State
Zip
$
One Time
Recurring
Email
*
$
$
One Time
Recurring
Phone
*
$
$
One Time
Recurring
Golfer
*
$
Golfer
$
One Time
Recurring
Golfer 1
*
$
$
One Time
Recurring
Golfer 2
*
$
$
One Time
Recurring
Golfer 3
*
$
$
One Time
Recurring
Golfer 4
*
$
$
One Time
Recurring
Foursome
*
$
$
x $618.00
One Time
Recurring
Singles Only - Use Foursome for a Team
*
$
$
x $154.50
One Time
Recurring
Only sign up here if you are not signing up for a foursome.
Caddyshack - Mulligans, Putting Tickets, Drinks
*
$
$
x $51.50
One Time
Recurring
One Caddyshack Package per team of 4. Includes 4 mulligans, 4 putting tickets, and 4 drinks.
Dinner Only
*
$
$
x $51.50
One Time
Recurring
Only for those who are not golfing or are not a sponsor.
Avoid Process Fees - Pay by Check.
*
$
$
One Time
Recurring
Contact wstenberg@samaritanbethay.com to receive an invoice and pay by check.