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REGISTRATION FORM
Please return with payment or credit card authorization
no later than May 2, 2016

CHRISTIANA ROTARY'S 18TH ANNUAL
GOLF TOURNAMENT & AUCTION
MAY 16, 2013
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| NAME |
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ADDRESS
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PHONE
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EMAIL
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| GOLF: |
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| Individual(s) |
x $195 = |
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| Foursome(s) |
x $780 = |
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| SPONSORSHIPS: |
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| Tee Sponsorship |
x $125* = |
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| Green Sponsorship |
x $150 = |
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| * Renewing is $100 |
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| DONATIONS: |
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I can't attend, but wish
to support this event
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| TOTAL |
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Make checks payable to "Christiana Rotary Club Foundation"
or use your credit card
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EXP. DATE
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NAME AS IT APPEARS ON CARD
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__MASTERCARD __VISA __ DISCOVER __ AMERICAN EXPRESS
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As holder of the above credit card, I authorize the amount shown in the TOTAL column to be charged to my credit card on xxx xx, xxxx
Signature: Date:
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SUBMIT REGISTRATION FORM
Fax To: (302) 454-4750 or
Mail To:
Christiana Rotary, c/o Dave Bonk,
P.O. Box 1656
Hockessin, DE 19707
TELEPHONE INFORMATION
(302) 235-5598
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