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<br />nuei~uee rnrormanon ~piease print or type) <br />Participants Spouse's Name <br />Utility/Company I~Tame <br />Address <br />City Zip <br />REGISTRATION FEES <br />$200.00 Advance Registration fee on or before August 1st <br />$230.00 Registration fee after August 1st and at door <br />Cancellations : A $2:i cancellation fee will be charged to cover processing costs. No refunds will be given after 4:30 p.m. on August 11th. <br />Enclosed/Bill $ to cover persons Registrations at $200.00 each (on or before August 1st) <br />Enclosed/Bill $ to cover persons Registrations at $230.00 each (after August 1st) <br />Bill Me Bill Utility/Company P.O. # <br />Please register the following as individuals or as a scramble team. Incomplete foursomes will be filled in. <br />Name/City/Co. Name/City/Co. <br />Name/City/Co. Name/City/Co. <br />I would like to golf with <br />Please register the following as individuals for one of the bike rides. Indicate if you will need a bike rental <br />Name/City/Co. Bike Rental: Yes No <br />Name/City/Co. Bike Rental: Yes No <br />Name/City/Co. Bike Rental: Yes No <br />