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Golf to Empower
Registration Fee includes: green fees, 18 holes, golf cart, range balls, light lunch, awards dinner, and opportunities to win many prizes!
Select
Individual ($75)
Team of four ($300)
Individual or Team Captain
Name
Name :: Please enter your full name
Company
E-Mail Address
E-Mail Address :: Pleae enter your email address
Address
Address :: Please enter your address
City
City :: Please enter your city
State
State :: Please enter your state
Zip
Zip :: Please enter a valid postal code (no hyphens)
Phone
Phone :: Please enter a phone number
Fax
Handicap or Average 18 Hole Score
Second Player
Name
Name :: Please enter your full name
Company
E-Mail Address
E-Mail Address :: Pleae enter your email address
Address
Address :: Please enter your address
City
City :: Please enter your city
State
State :: Please enter your state
Zip
Zip :: Please enter a valid postal code (no hyphens)
Phone
Phone :: Please enter a phone number
Fax
Handicap or Average 18 Hole Score
Third Player
Name
Name :: Please enter your full name
Company
E-Mail Address
E-Mail Address :: Pleae enter your email address
Address
Address :: Please enter your address
City
City :: Please enter your city
State
State :: Please enter your state
Zip
Zip :: Please enter a valid postal code (no hyphens)
Phone
Phone :: Please enter a phone number
Fax
Handicap or Average 18 Hole Score
Fourth Player
Name
Name :: Please enter your full name
Company
E-Mail Address
E-Mail Address :: Pleae enter your email address
Address
Address :: Please enter your address
City
City :: Please enter your city
State
State :: Please enter your state
Zip
Zip :: Please enter a valid postal code (no hyphens)
Phone
Phone :: Please enter a phone number
Fax
Handicap or Average 18 Hole Score
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