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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
Mail payment to: Serenity House , 110 Centre Church Road, Mooresville, North Carolina 28117
Player 1 Name
Player 2 Name
Player 3 Name
Player 4 Name
Total ($125 per player or $400 per team)
Platinum $5,000 (Includes 4 player team)
Gold $3,000 (Includes 2 players)
Sponsorship Contact -Name, Address, Phone
Total Amount Paid
I understand that my registration or sponsorship is not complete until Serenity House receives payment for the amount listed above.
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