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Registrant Information
First Name
Last Name
Address
City
State
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AR
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DE
DC
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HI
ID
IL
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IA
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US Territories
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Zip
Phone
Email
Event Sign Up
Event
Qty
Sub-Total
Gala ($50/Ticket) - Gala only without Golf Registration
0
1
2
3
4
5
$
0
50
100
150
200
250
Rush Creek($250/Ticket) - 1 Golf Registration and 2 Gala tickets
0
1
2
3
4
5
$
0
250
500
750
1000
1250
Legends ($250/Ticket) - 1 Golf Registration and 2 Gala tickets
0
1
2
3
4
5
$
0
250
500
750
1000
1250
I am unable to attend but will make a tax-deductible contribution
$
Teammate Signup
Name
Handicap
Captain
Teammate 1
Teammate 2
Teammate 3