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Golf Tournament Formerly: Pacific NW Dental Conference Tournament Dan Petersen, DDS, Chairman To benefit the National Foundation for Ectodermal Dysplasias |
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• tee sign • luncheon banner • representative on the course
• tee sign at contest hole • prize presentation to contest winners • representative on the course
• tee sign • representative on the course |
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Deadline, August 9, 1999 Yes, I would like to be a __Tournament Host ($750) __Contest Host ($500) __Tournament Sponsor ($250) __Additional Golfers ($80 per golfer) __Donation to the NFED Company Name___________________________________ Contact_____________________________________________ Address_____________________________________________ City__________________________ST____Zip_____________ Phone__________FAX___________E-mail_____________ |
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Team Captain_____________________________ Current Handicap__________________________ Address______________________________________ City__________________________ST___Zip________ Phone________________________________________ FAX______________________e-mail_________ |
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Golfer #2_____________________________ Handicap______________________________ Golfer #3_____________________________ Handicap______________________________ Golfer #4_____________________________ Handicap______________________________ |
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Payment - Check or Credit Card *donations are tax deductible beyond actual cost of tournament participation (Tax ID# 37-1112496). __ My check for $__________, payable to NFED is enclosed. __ I would like to charge $__________ to my ___MasterCard ___VISA Card #______________________Expiration Date:_______ Name on card (print):______________________________ Cardholder Signature:______________________________ |
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