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| 2010 Tournament Registration Form |
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OGCOA State Championship Tournament
July 15-16, 2010
Colonial Golfers Club, Lima, OH.
First Name: _____________________ Last Name: _________________________ Address:_________________________ City:___________________ Zip:_______ Phone:(____)___________ Boy/Girl:_______ Age:____ Average Score 18 holes:____ Email address: _________________________ Cost: $69 includes 18 holes of golf each day, Thursday lunch and Friday picnic for golfer Please complete this form and remit payment ($69) to: Ohio Golf Course Owners Association 554 W Central Ave. Suite #6 Delaware, Oh 43015 Office phone: 1-800-826-4394 Fax: 1 -740-369-2741 Email: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it Credit Card Information Card Number: _________________________ Expiration Date: ___/____ Name on Card: _________________________ Credit Card Billing Address (if different from above: ___________________________________________________________ Signature: ______________________________
Space is limited. We look forward to seeing you at Colonial Golfers Club!!!
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