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2010 PLAYER
REGISTRATION FORM Registration includes golf, lunch, dinner |
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September 27, 2010 - Antelope Valley Country
Club |
Please fill in YELLOW AREAS |
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FOURSOME NAME: |
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player one |
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player 1 registration |
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NAME |
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($250 if paid after
mm/dd/yyy) |
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ADDRESS |
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Mulligan book $30 |
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CITY |
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ZIP |
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Dinner for Guest $25 |
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PHONE |
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Grand Raffle ticket $100 |
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HDCP |
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AVE. SCORE |
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player two |
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player 2 registration: |
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NAME |
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($250 if paid after
mm/dd/yyyy) |
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ADDRESS |
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Mulligan book $30 |
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CITY |
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ST |
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ZIP |
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Dinner for Guest $25 |
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PHONE |
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Grand Raffle ticket $100 |
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HDCP |
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AVE. SCORE |
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player three |
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player 3 registration: |
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NAME |
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($250 if paid after
mm/dd/yyyy) |
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ADDRESS |
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Mulligan book $30 |
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CITY |
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ST |
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ZIP |
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Dinner for Guest $25 |
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PHONE |
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Grand Raffle ticket $100 |
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HDCP |
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AVE. SCORE |
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player four |
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player 4 registration: |
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NAME |
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($250 if paid after
mm/dd/yyyy) |
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ADDRESS |
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Mulligan book $30 |
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CITY |
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ST |
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ZIP |
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Dinner for Guest $25 |
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PHONE |
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Grand Raffle ticket $100 |
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HDCP |
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AVE. SCORE |
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TOTAL DUE: |
$ - |
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Payment MUST BE RECEIVED NO LATER THAN
MM/DD/YYYY |
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to get $250 per player discounted registration! |
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EMAIL COMPLETED FORM TO: golf@avbgc.org |
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FAX COMPLETED FORM TO: |
661-951-1322 |
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MAIL COMPLETED FORM TO: |
A.V. Boys & Girls Club, P.O. Box 10047,
Lancaster, CA 93584 |
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