Michelob Ultra
Maid Brigade
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Registration Form
You are registering for the Sat. Feb. 9th, 2019 at Concord at Revere Golf Club in Henderson. tournament. The tournament fee for VIP members is $ 69 . The fee for non-members is $ 79 .
Player Information
Sex:        
First name:   
Last name:   
Address1:   
Address2:   
City:   
State:  
Zip code:   
Phone: ( )    -
Email:   
Name of
playing partner:
  
Handicap Index:   
  I am a current VIP Member
I would like to purchase a VIP Membership.
How did you hear about us?
Comments
Is the billing information the same as the player information:
  
I would like to receive my winnings as:
     
Note: VGA Bucks may be used for future tournaments or VIP Memberships
If you'd prefer to register by mail, you may print the registration form here.
 
 

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