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Golfer Registration

Please complete this registration form to reserve your team for the Richard Ragain Memorial Golf Tournament. $35 per player.

Team Name

*    
       

Team Captain

 

Golfer 2

 

First Name:

*

First Name:

Last Name:

*

Last Name:

Address:

*

Address:

City:

*

City:
Zip: * Zip:
Phone: () - * Phone:

Email:

*

Email:

 

 

   

Golfer 3


Golfer 4


First Name:

First Name:

Last Name:

Last Name:

Address:

Address:

City:

City:
Zip: Zip:
Phone: Phone:

Email:

Email:
       

Golfer 5


 


First Name:

   

Last Name:

   

Address:

   

City:

   
Zip:    
Phone:    

Email:

   
       
Comments for Registration:
* Invoices will be mailed to the Team Captain prior to the event. Submission
of this form constitutes a team reservation and commitment to
participate the Richard Ragain Memorial Golf Tournament.