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Golf Tournament Entry Form
April 15, 2012
Registration at 12pm
Tee Time: 1pm
The Crossings Golf Club
Format: Captains Choice

Name *

Company

Are you part of a complimentary sponsorship team?
(If Yes, please make sure to list your Company Name above.)

Address

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

Phone Number *

###

####

Email *

Average Score for 18 holes (to ensure teams are evenly matched)

Team Members
Please include the names of the 3 other members of your team. Each member will need to fill out an entry form. If you will be paying for a team member(s) please make a note in this box.

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