USA Mortgage Player Registration

TEAM REGISTRATION FORM

All Proceeds Benefit the #KeiraStrongForever Foundation

Here’s What You Get: Brunch served prior to shot gun start 18 holes Green fees Carts Awards ceremony (with open bar & heavy hors d’oeuvres) 50/50 Silent Auction

$ 125 per GOLFER

10 AM SHOTGUN START

And For Purchase: A Rescue Kit! $ 40 per team Includes: 4 mulligans 1 six foot piece of string 2 grenade tosses

Team Name:

Team Contact:

Player 1:

Shirt Size:

Player 2:

Shirt Size:

Player 3:

Shirt Size:

YES, I would like to purchase a Rescue Kit

Player 4:

Shirt Size:

Email & Phone Number:

Payment Options:

MC

Visa

Loan Officer BEEP Account

Check

If paying via credit card, please fill out the attached credit card authorization.

Please return completed form to: Chelsea Vonder Haar | Phone: 314.628.2128 | Email: chelsea@usa-mortgage.com

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