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2018 Picatinny WID Golf Outing registration form
CHECK PAYMENT
Note
: In order to fully complete your registration, you must complete the form below
and
submit payment,
If you are paying with
check
, you may email Picatinny's general WID emaili
[email protected]
or email Dawn Winters (
[email protected]
) or Nicole Barnash (
[email protected]
) directly to arrange delivery of your payment; you may also mail the check to
P.O. Box 87, Wharton, NJ, 07885
. All checks must be made out to WID Picatinny Chapter.
All payments must be made be September 14, 2018 and registration will not be complete without the payment.
*
Indicates required field
Number of Golfers
*
Input the number of GOLFERS you want to register.
Price is
$130/golfer
. Your total golfer fee will be the number entered above multiplied by 130.
Number of Non-Golfers
*
Input the number of NON-GOLFERS you want to register.
Price is
$30/non-golfer
. Your total non-golfer fee will be the number entered above multiplied by 30.
Name, Phone Number, and Email Address for Golfer(s) (Type "N/A" if no golfers are being registered)
*
Provide the name, phone number, and email address for the golfer(s) you wish to register.
Name, Phone Number, and Email Address for Non-Golfer(s) (Type "N/A" if no non-golfers are being registered)
*
Provide the name, phone number, and email address for the non-golfer(s) you wish to register.
List any special dietary needs.
*
List dietary needs for all those registered. If there are none, type "N/A".
Submit
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