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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.