2017 Charity Golf Classic Registration
May 12th, 2017 Salina Country Club 4 Person Scramble

* indicates required fields 
  *Team Name:
  *Player 1 Name:
  Player 1 Address:
  Player 1 Phone Number:
  Player 1 Email:
  *Player 2 Name:
  Player 2 Address:
  Player 2 Phone Number:
  Player 2 Email:
  *Player 3 Name:
  Player 3 Address:
  Player 3 Phone Number:
  Player 3 Email:
  *Player 4 Name:
  Player 4 Address:
  Player 4 Phone Number:
  Player 4 Email:
  *Payment Method:
  *Payment Designated for the Following Team Members:

Please note the following payment options. Payments may be made online via PayPal or in office, 203 S Santa Fe, by Check payable to DVACK. Payments may be made for individual team members* ($125 per person) or paid in full ($500 for 4 Person Team). * When making payment for individual members, please indicate in the Payment Designation field of the registration page those members in which the payment is to be applied. After filling the details click on the SUBMIT button.
 

PO Box 1854  |  Salina, KS 67402-1854  |  (785) 827-5862 or (800) 874-1499  |  fax: (785) 827-2410

     Services of DVACK are free and confidential

 

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