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Senior Services 9th Annual Charity Golf Outing
Monday, June 5, 2017
Gull Lake Country Club

REGISTRATION FORM
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Last Name
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Company Name (or self-employed, retired, other)
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Address
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City, State, Zip
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Email Address
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Payment Amount
If you are paying for a foursome, please list names and emails below
#1 Player
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Email
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#2 Player
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Email
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#3 Player
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Email
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#4 Player
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Email
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Type of Payment.
**Please indicate on check or online that payment is for GOLF**
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