Team Captain
Name:  
Address:  
City:
St:
Zip:
Phone number w/area code:
Email address:

Team Members
Name:
Phone number w/area code:
Name:
Phone number w/area code:
Name:
Phone number w/area code:

Time the group would prefer to start:
8:00 AM_____   2:30 PM_____   Either_____

Registration information: RSVP by 9/17/05
$65 per person / $260 per team if paying by check
$68 per person / $270 per team if paying with paypal

Would you like to sponsor a hole? Click here>>to sponsor a hole
Remember all donations are tax deductible!

If you are paying by Paypal please copy and paste the information above with your payment or email to golf@hhdane.com

Make Checks Payable to: HHGDR

If you wish to mail your registration fee and form Please mail to:
Harlequin Haven
11567 State Route 774
Bethel, OH  45106

 

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