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Personal Information
Team Name
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Captain's Name
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Address
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Email
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Phone Number
Names
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Individual ($95 per golfer)
Team ($90 per golfer)
Hole Sponsor
Silver Event Sponsor
Gold Event Sponsor
Platinum Event Sponsor
Friends of the Patriots 4 Families General Donation
Amount
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Payment Gateway
Card Number
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Name on Card
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Expiry Date
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Security Code
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Card Number
Security Code
Expiry Date
Postal Code
Total:
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