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Required fields are marked with an (*)



Golf Challenge proceeds benefit WKSU!

$150 Individual $300 Twosome $550 Foursome (Early bird special deadline May 4)
$600 Foursome



*Method of Payment: Visa MasterCard Discover

*Credit Card Number:

*Expiration date: Month: Year:

Golfers holding professional status are welcome to play but are ineligible to win skill prizes (foursomes that include a golf pro cannot win team skill prizes).



*Name:

*Company:

*Address:

*City:

*State:

*Zip:

Home Phone:

Work Phone:

*E-Mail:		Your e-mail address will be used only for WKSU communications.

* Do You Hold Pro Status? Yes No

Are You Currently A Member Of WKSU? Yes No Your Comments Are Welcome Below:



*Name:

*Company:

*Address:

*City:

*State:

*Zip:

Home Phone:

Work Phone:

* Do You Hold Pro Status? Yes No



*Name:

*Company:

*Address:

*City:

*State:

*Zip:

Home Phone:

Work Phone:

* Do You Hold Pro Status? Yes No



*Name:

*Company:

*Address:

*City:

*State:

*Zip:

Home Phone:

Work Phone:

* Do You Hold Pro Status? Yes No

This is a SECURE transaction. Click the send registration button ONCE to send us your completed registration form. (In actuality, a registration really won’t be sent. This is meant to portray the submission process.)