Shirley R. Ellis Golf Classic for X*ACT
Please complete this form to reserve you and/or your team's participation in the 2017 Golf Outing. Registration and payment can be made online after submitting this form. You can also mail payment to X*ACT, 45 E. Second Street, Xenia, Ohio 45385. Make check(s) payable to: X-ACT. Registration and payment may also be made by calling X*ACT at (937) 372-0516 or by e-mailing; director@xeniaact.org. If paying my mail, please note that in your submission in the comments. Once this form is submitted you will be given options to pay via PayPal or with a credit card. All credit cards are accepted. $70 per golfer includes green fees, cart and lunch.
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