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REGISTRATION FORM - 2nd ANNUAL FLYERS CHARITIES CELEBRITY GOLF INVITATIONAL
*Contact Person:
*Phone
*E-mail
*Organization
*Street Address:
*City
State/Province
*Zip code
Website:

Sponsorship Level (check one):
Gold Silver Bronze Reception Only

Player 1 Name:
USGA Index:
Shirt or Vest Size:
Company Name:
Street Address:
City:
State/Province
Zip:
Phone
E-mail

Player 2 Name:
USGA Index:
Shirt or Vest Size:
Company Name:
Street Address:
City:
State/Province
Zip:
Phone
E-mail

Player 3 Name:
USGA Index:
Shirt or Vest Size:
Company Name:
Street Address:
City:
State/Province
Zip:
Phone
E-mail

Player 4 Name:
USGA Index:
Shirt or Vest Size:
Company Name:
Street Address:
City:
State/Province
Zip:
Phone
E-mail

*Payment Type:
I would like to pay by credit card
I would like to pay by personal check
Please send me an invoice


For additional information:
Phone: 215-389-9426
Fax: 215-389-9507
Email: MThomson@comcast-spectacor.com
Website: www.comcastspectacorfoundation.org

Waiver: In consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release all organizers and sponsors of this event from all claims of liability of any kind arising out of my participation in this event.
Thank You!
 
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