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2008 the
Miley Foundation
&
the
Breast Cancer 9-Hole 4 Person Scramble 8:00 am (ladies only groups) OR
1:00 pm (mixed
groups - WELCOME MEN!!!) |
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Entry fee for National Breast Cancer Foundation: $20.00 |
| Fee includes: Greens fees for 9 holes, food, refreshments and other goodies, prizes for the winners. Players will be contacted by email or phone after the deadline date. |
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Please fill in all the information in the form below. If you are paying by credit card, fill in the necessary information. Print out the form below and return it with the fee or credit card information to: Sweet Water Golf Course & Driving Range, 2554 Geryville Pike, Pennsburg, PA 18073 |
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Be sure to indicate if you wish to participate in Rally for a Cure for Breast Cancer |
| 1st Player Information Breast Cancer 9 - Hole 4 Person Scramble 2008 | ||
| Check
one: 8am _____ 1pm _____
Ladies only at 8 - mixed group at 1 |
Will You
Need: Pull cart: _____how many _____ Riding cart: how many _____ |
|
| Name | ___________________________________________________________________________ | |
| Address | ___________________________________________________________________________ | |
| Phone # | (H) _________________________ | (W) _________________________ |
| ________________________________________________ | ||
| I WOULD like to participate in the Rally for a Cure for Breast Cancer _______ | ||
| I WOULD not like to participate in the Rally for a Cure for Breast Cancer _______ | ||
| 2nd Player Information Breast Cancer 9 - Hole 4 Person Scramble 2008 | ||
| Check
one: 8am _____ 1pm _____
Ladies only at 8 - mixed group at 1 |
Will You
Need: Pull cart: _____how many _____ Riding cart: how many _____ |
|
| Name | ___________________________________________________________________________ | |
| Address | ___________________________________________________________________________ | |
| Phone # | (H) _________________________ | (W) _________________________ |
| ________________________________________________ | ||
| I WOULD like to participate in the Rally for a Cure for Breast Cancer _______ | ||
| I WOULD not like to participate in the Rally for a Cure for Breast Cancer _______ | ||
| 3rd Player Information Breast Cancer 9 - Hole 4 Person Scramble 2008 | ||
| Check
one: 8am _____ 1pm _____
Ladies only at 8 - mixed group at 1 |
Will You
Need: Pull cart: _____how many _____ Riding cart: how many _____ |
|
| Name | ___________________________________________________________________________ | |
| Address | ___________________________________________________________________________ | |
| Phone # | (H) _________________________ | (W) _________________________ |
| ________________________________________________ | ||
| I WOULD like to participate in the Rally for a Cure for Breast Cancer _______ | ||
| I WOULD not like to participate in the Rally for a Cure for Breast Cancer _______ | ||
| 4th Player Information Breast Cancer 9 - Hole 4 Person Scramble 2008 | ||
| Check
one: 8am _____ 1pm _____
Ladies only at 8 - mixed group at 1 |
Will You
Need: Pull cart: _____how many _____ Riding cart: how many _____ |
|
| Name | ___________________________________________________________________________ | |
| Address | ___________________________________________________________________________ | |
| Phone # | (H) _________________________ | (W) _________________________ |
| ________________________________________________ | ||
| I WOULD like to participate in the Rally for a Cure for Breast Cancer _______ | ||
| I WOULD not like to participate in the Rally for a Cure for Breast Cancer _______ | ||
| Please indicate with a checkmark _______ Ladies Only Group _________Mixed Group | ||
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If you do not have a foursome, we can put you with a group!!!! Make checks payable to Sweet Water Golf and Rally payable to Rally for a Cure |
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Credit Card Information |
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Circle One: |
Visa |
MasterCard |
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Name: |
As it appears on card (please print). |
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___________________________________ |
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| Card number: | ___________________________________ | ||
| Expiration date: | ___________________________________ | ||
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Credit card numbers will reserve your tee time. Cancellations can be made up to 48 hours before event or credit card may be charged. |
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