E-Gov Services Miami Township

DARE Golf Outing Registration

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Purpose. Use this form to register a FOURSOME or HOLE SPONSORSHIP or make a DONATION for the Lt. Robert Evans Memorial D.A.R.E. Golf Outing on Sept. 21 at Legendary Run Golf Course in Pierce Township.

* Information is required.

Contact Information

* First Name:
* Last Name:
* Business Name:
* Email:
* Daytime Phone:	() –
* Fax:	() –
* Address:
* City:
* State:
* ZIP:

* Please select the item that you are registering for. You will be invoiced later.

Foursome ($360)

Individual Golfer ($90)

Hole Sponsor ($100)

Donation (Please specify the amount and/or raffle item)

* CHOOSE ONE:

Please list the names of the players in the foursome, OR

The message on the hole sponsorship sign, OR

The amount of the cash donation and/or raffle prize

Check here to have email confirmation of this request sent.

* Information is required.

Notes:

Someone will be in contact with you shortly about your registration. Thank you for supporting the DARE Golf Outing. If you have any questions or if arrangements are needed to be made to obtain your registration, please contact Gene Bishop @ 225‐5334.

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