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2016 Golf Tournament and Dinner Registration
*
Indicates required field
Name
*
First
Last
Phone Number
*
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Golf Participants:
Please enter yourself as Player 1. If you are part of a 2, 3, or 4-person group, also fill in the names of those in your group.
Player 1
*
First
Last
Player 2
*
First
Last
Player 3
*
First
Last
Player 4
*
First
Last
Player 1 Email
*
Player 2 Email
*
Player 3 Email
*
Player 4 Email
*
Player 1 Shirt Size
*
SM
MED
LG
XL
XXL
Player 2 Shirt Size
*
SM
MED
LG
XL
XXL
Player 3 Shirt Size
*
SM
MED
LG
XL
XXL
Player 4 Shirt Size
*
SM
MED
LG
XL
XXL
Dinner Only:
*
I will attend dinner and award ceremony only.
Please provide name(s) of diner(s):
Diner 1
*
First
Last
Diner 2
*
First
Last
Want to donate or advertise?
SPONSORSHIP OPPORTUNITIES START AT JUST $100
Contact Kelly Molloy at
[email protected]
or 203-403-3774 for more information
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