Please return this form and payment to:
Knights of Columbus
C/O Nat Lucido
16854 Babler View Drive
Wildwood, MO 63011
First 124 paid entries will comprise the field
No entry reserved without payment
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Registration
Payment:
Total Entry Fee(s) @165.00
Sponsor Fee(s)
Dinner Only @25.00
Total
Make check payable to:
Knights of Columbus Charity Golf Tournament
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$
$
$
$
Player Information:
Please list all players
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Player One:
Name:
Company:
Address:
City/State/Zip:
Phone/Fax:
Email Address:
Player Two:
Name:
Company:
Address:
City/State/Zip:
Phone/Fax:
Email Address:
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Player Three:
Name:
Company:
Address:
City/State/Zip:
Phone/Fax:
Email Address:
Player Four:
Name:
Company:
Address:
City/State/Zip:
Phone/Fax:
Email Address:
Credit Card Information:
MasterCard Visa Amex Discover
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Cardholder's Name
Credit Card #
Expiration Date
Questions?
Call Dan Burke at 314-323-6457, Bob Maryas at 314-913-6667 or Herb Driscoll at 314-954=6449