Date: Saturday, June 1,
2013
Time: 8:00am Shotgun Start (Dinner & Raffle Auction from 2pm - 6pm)
Golfers - $110 per person (includes dinner)
Non-Golfers - $40 per person (dinner only)
Hole Sponsorship - $100
*Deadline to register and submit payment is May 25, 2013*
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Name *
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Email *
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We do not share your email address and only use it to contact you regarding your registration unless specified below.
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Newsletter
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Notify me of future Kymbo Golf Outings by email
Check the box to be notified of future golf outings and Kim's Awareness news by email, and to help save the Ostien's money on postage going forward :) And we
promise not to SPAM.
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Address
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Phone Number
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Registration
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How many total golfers/guests are you registering?
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If you are registering more than 5 guests, please use the box at the bottom of the registration form to detail how many and who your guests are.
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Golf - $110 Per Golfer
Please list the members of your golf foursome (if known).
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Golfer #1
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Golfer #2
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Golfer #3
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Golfer #4
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Dinner - $40 Per Dinner Guest
Please list your guests who are attending the dinner only and will not be golfing.
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Dinner Guest #1
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Dinner Guest #2
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Dinner Guest #3
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Dinner Guest #4
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Additional Guests & Info
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If you have more than 4 guests, please use the box at the bottom of the registration form to enter the remaining names.
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Tee/Hole Sponsorship
You may sponsor a tee/hole at the golf outing for a donation of $100
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I would like to sponsor a hole for $100
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Hole Sponsorship
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If you would like to sponsor a hole, please designate what verbiage (family name, company name, etc.) you would like displayed on your sign (limited to 4
lines)
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Additional Donation
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Donation Amount
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Please designate if you would like to make an additional donation
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Additional Comments
Enter any additional questions or comments below
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Email
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