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Golf Scramble Registration Form

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Team Name *

Golfer #1 *

Email *

Phone

Golfer #2 *

Email *

Phone

Golfer #3 *

Email *

Phone

Golfer #4 *

Phone

Email *

Comment or Message

Sponsorship Levels *

Gold – $5,000.00
Silver – $2,500.00
Bronze – $1,000.00
Team – $500.00

Note:

Team Sponsorship after July 15th is $600.00

Stripe Credit Card *

Total

$0.00

Terms and Conditions *

Agree to Terms?

Charitable donations and sponsorships to the Terry Adler Memorial Foundation are not refundable. Entry fees will be considered on a case-by-case basis. Please contact the Terry Adler Memorial Foundation at [email protected] with any questions.