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Thank you for your interest in the Annual James A. Combs Golf Tournament. Please complete the form below to register. 


* Indicates a required field.
 

Registration

 
Our gift is: $


Please enter the number of golfers:
$125 per player/$500 for foursome
 
Player 1 Name:
Handicap or Average 18-hole course:
 
Player 2 Name:
Handicap or Average 18-hole course:
 
Player 3 Name:
Handicap or Average 18-hole course:
 
Player 4 Name:
Handicap or Average 18-hole course:
 
Additional Dinner Reservation ($30):
Enter the number of dinner reservations you would like
 
Raffle Tickets:
 
Sponsorship:
 
The value per player is $60. Your payment over this amount is fully tax-deductible.
Tournament is limited to 144 players.


Personal Information

 
First Name:
Last Name:
Company:
Address Line 1:
Address Line 2:
City:
State:
Zip/Postal Code:
Phone Number:
Email Address:
 


Payment Information

 
 
Name:
Address Line 1:
Address Line 2:
City:
State:
Zip/Postal Code:
Phone Number:


 
MasterCard  Visa  Discover  American Express
Credit Card Number:
Credit Card Expiration:  
Security Code:


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