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Event registration
Event Date: Monday, April 29, 2019 at 10:00 a.m.
Event Address: Mallard Head Golf Course 185 Mallard Way, Mooresville, NC
Contact us at (704)664-2004 or Sandi@carolinacomfortcoalition.org
Mail payment to: Serenity House , 110 Centre Church Road, Mooresville, North Carolina 28117
Email address *
Player 1 Name
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Player 2 Name
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Player 3 Name
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Player 4 Name
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Total ($125 per player or $400 per team)
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Sponsorship Levels
Sponsorship Contact -Name, Address, Phone
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Total Amount Paid
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I understand that my registration or sponsorship is not complete until Serenity House receives payment for the amount listed above. *
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