2010 Golf Entry Form

Limited to 128 Golfers! Silent Auction and dinner open to 300.

Payment Deadline: Monday, September 20th, 2010
Information: Ann Larson 805-641-5116 ext. 2174

Payments can be made here: "Make payment here"

Golf & Dinner $135.00 - Additional Guests:
Adult - $20, Children under 12 - $10
(Tax ID #95-600-5505 of which $60 is deductible)
Golf Polo Shirt size S-XXL

List Name and Address for each Golfer.
Singles, Two's, and Three's are welcome!


Golfer #1
Extra Dinners
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Please solve the math problem above and type in the result. e.g. for 1+1, type 2