Email completed registrations to dbaker@mmnt-cpa.com or fax to 860-533-0405
Player Registration Information
For each golfer, please include Name, Address (Street, City, State & Zip), Phone and email address
Sponsorship Information
Tee Sponsor - please include the Company or Sponsor Name
Donations -
Raffle prizes - Please include item description
Cash - please indicate the donation amount
Contest Sponsor - please include the Company or Sponosr Name
Summary of Registation
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Qty
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Price Per
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Total
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Golfer Registration
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$ 140
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Contest Sponsor
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$ 350
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Tee Sponsorship
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$ 115
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Dinner
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$ 70 |
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Donation |
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Total Due |
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Payment Information
Please make checks payable to MMNT, LLC or pay by Credit Card (Mastercard / Visa)
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Card #
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Expiration date (xx/xx)
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Name (as it appears on card)
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Cardholder signature
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Billing address of cardholder
(Street, City, State & Zip)
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Cardholder phone
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