Smiles for NFED Golf Tournament Formerly: Pacific NW Dental Conference Tournament Dan Petersen, DDS, Chairman To benefit the National Foundation for Ectodermal Dysplasias Last Update: 07-05-1999 Back to Home Page

REGISTRATION FORM
Please print or type. Deadline, August 13, 1999

Donation of $80 per golfer Team Captain_______________________________ Company___________________________________ Address____________________________________ City______________________ST____Zip________ Phone_____________________________________ FAX_____________________e-mail_____________ Current Handicap:____________________________ Golfer #2__________________________________ Address____________________________________ City______________________ST____Zip________ Phone_____________________________________ FAX_____________________e-mail_____________ Current Handicap:____________________________ Golfer #3__________________________________ City______________________ST____Zip________ Phone_____________________________________ FAX_____________________e-mail_____________ Current Handicap:____________________________ Golfer #4__________________________________ Address____________________________________ City______________________ST____Zip________ Phone_____________________________________ FAX_____________________e-mail_____________ Current Handicap:____________________________ Donations I cannot participate in the tournament, but please accept my tax-deductible contribution of $__________ to support the NFED.

North Shore Golf Course Tacoma, Washington Friday, August 27, 1999 7:30 am Shotgun Start (7 am check in) Best Ball Format. Course Pro will assign handicaps to golfers who do not provide one. Fee includes 18 holes of golf, golf cart, lunch, refreshments and prizes. Awards for first place, low gross and poison ball foursomes. 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: ______________________________________________________ Return to: Betsy Howe / NFED P.O. Box 2069 Auburn, WA 98071-2069 Phone/FAX 253-735-5195 nfed3@aol.com Back to Home Page