I would like to register as a Individual $175 Team $700 Lunch and guest speaker only $40 (no golf)

Would you like information on being a hole or coporate sponsor? No Yes

Please provide the following information:

Name:

Address:
Street:
City: State: Zip:

Phone:
Email:

PGA Handicap:

Team Name / Corporate Name:

Special Notes:(you can add extra players names here if you wish)

I would like to pay by: Check Credit Card

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