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The 25th Annual
Kelly & Poppa Lou Golf Classic
Saturday, July 17, 2021

Online Registration Form

 

 

Golfer's Name (required):   
Telephone (required):   
Address #1  
Address #2  
City  
State  
Zip  
E-mail address (required) ("none" if none):  
Do You Have a Foursome?   Yes   No  
If Yes, List the Names of Golfers in Your Foursome:  
Team Member #1  
Team Member #2  
Team Member #3  
Team Member #4  
I plan to attend the party and entertainment (required)   Yes   No  
Do You Wish to Be Added to a Foursome?   Yes   No  

Please add suggestions and/or comments:

            

 

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