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Youth Scholarship Golf Classic Registration Form

Golf Classic does not include Conference registration | sorry no refunds | no exceptions

Golf Party (request to be teamed with) Company
Team #1 Contact Name
Team #1 Title
Team #2 Address
Team #2 City
    State
  # Of Players   Amount
Annual Golf Classic x $200 per player
Golf Classic Guest Awards Luncheon only x $30

Total Amount   

Zip
Tel
Fax
E-Mail
Website
Sponsor code
Method of Payment:
Card #
CVV #
Exp Date  
Name on Card