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Golf Tournament Registration- Please check the appropriate registration box- Single players will be placed on a team- Please provide player information below
Player 1: Name:__________________________ Phone:________________________E-Mail:_______________________
Player 2: Name:__________________________ Phone:________________________E-Mail:_______________________
Player 3: Name:__________________________ Phone:________________________E-Mail:_______________________
Player 4: Name:__________________________ Phone:________________________E-Mail:_______________________
Team of 4$520
Individual$130
• Golf Registration Fees Due by October 18th • Golf or dinner only checks payable to:
“Old Hickory Golf Club”• Mail completed registration forms with payment (cash or
check only) to:Jim Weiser7430 Norwalk CourtManassas, VA 20112
Payment Information
Questions? Contact Jim Weiser at [email protected] or (757) 537-8201
Dinner Only Registration• Non-Golfer Dinner only cost: $30 per person
Number Dinner Only _____ x $30 = $______
