Registration Form: PLAYERS

INAUGURAL GOLF TOURNAMENT: BENEFIT HIV/AIDS HOME FOR KIDS

Please Print Clearly:

Full Name:
_________________________________________________

Address:
_________________________________________________

_________________________________________________

Telephone:
_________________________________________________

E-mail:
_________________________________________________

Preferred Contact Method (Limited):

Email Telephone

Name of Persons You Wish to be in Your Foursome (We accommodate this to the best of our ability):

_________________________________________________

_________________________________________________

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$200 Entry Fee will cover:

-Round of golf
-Lunch, Dinner, Beverages throughout the day
-Outfitting Tent to Try Latest Technologies
-Gift Bag
-Small Donation to Jubilee Home IV


Please mail registration forms and checks to:
Jubilee Campaign
9689-C Main Street
Fairfax, VA 22031