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2018 Grand Prize Brochure
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2017 Photo Gallery
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Event Info
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Donations
Dinner Registration 2019
Step 1 of 4
25%
Initial Dinner Fee
Registration Type:
*
Dinner Only Registration
Name
*
First
Last
Email
*
Cell Phone
*
Home Phone
Business Phone
Address Information
Street Address
Address Line 2
City
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TD
TX
UT
VT
VA
WA
WV
WI
WY
State
Zip Code
Total
$0.00
Do You Want Additional Dinners (Non-Golfing Guests) ?
*
YES
NO
Additional Dinners (Non-Golfing Guests)
Choose
1 Extra Dinner + $200.00
2 Extra Dinners + $400.00
3 Extra Dinners + $600.00
4 Extra Dinners + $800.00
5 Extra Dinners + $1,000.00
(Player's dinner is included in tournament fee)
Name - Guest 1
First
Last
Email
*Please enter a different email address than the one used for the main registrant.
Cell Phone
Home Phone
Business Phone
Address Information
Street Address
Address Line 2
City
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TD
TX
UT
VT
VA
WA
WV
WI
WY
State
Zip Code
Name - Guest 2
First
Last
Email
*Please enter a different email address than the one used for the main registrant and Guest 1.
Cell Phone
Home Phone
Business Phone
Address Information
Street Address
Address Line 2
City
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TD
TX
UT
VT
VA
WA
WV
WI
WY
State
Zip Code
Name - Guest 3
First
Last
Email
*Please enter a different email address than the one used for the main registrant, Guest 1 and 2.
Cell Phone
Home Phone
Business Phone
Address Information
Street Address
Address Line 2
City
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TD
TX
UT
VT
VA
WA
WV
WI
WY
State
Zip Code
Name - Guest 4
First
Last
Email
*Please enter a different email address than the one used for the main registrant, Guest 1, 2 and 3.
Cell Phone
Home Phone
Business Phone
Address Information
Street Address
Address Line 2
City
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TD
TX
UT
VT
VA
WA
WV
WI
WY
State
Zip Code
Name - Guest 5
First
Last
Email
*Please enter a different email address than the one used for the main registrant, Guest 1, 2, 3 and 4.
Cell Phone
Home Phone
Business Phone
Address Information
Street Address
Address Line 2
City
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TD
TX
UT
VT
VA
WA
WV
WI
WY
State
Zip Code
Total
$0.00
Would You Like To Make An Additional Donation?
*
YES
NO
Donation Amount
I would like to make an additional tax-deductible contribution.
Total
$0.00
Payment Type
*
Credit Card
Check
{pricing_fields}
Billing Address
*
Same As Previous Address
Street Address
Address Line 2
City
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TD
TX
UT
VT
VA
WA
WV
WI
WY
State
Zip Code
Credit Card
*
American Express
Discover
MasterCard
Visa
Card Number
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
Expiration Date
Security Code
Cardholder Name
Send check to this address:
Friends of Golf, Inc.
Gelfand Rennert & Feldman
1880 Century Park East, #1600
Los Angeles, CA 90067
Total
$0.00
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