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  REGISTER HERE:
Name:
Sponsoring Organization:
Address:
City:
State:
Zip:
Contact Phone:
Fax:

Please list the names of the players in your group. Show their current handicap or average score:
1.    Avg: 
2.    Avg: 
3.    Avg: 
4.    Avg: 



 

You can print this form and fax it to 301-618-3076, mail to:

Vaughn E. Barkdoll, Tournament Director
Dimensions Healthcare Sytem
3001 Hospital Drive, Suite 4000
Cheverly, Maryland  20785


OR JUST SUBMIT ONLINE BY CLICKING THE BUTTON BELOW:

 

 

Please make checks payable to Dimensions Healthcare System and mail to the address above.
   
The fair market value of benefits received for each entry is $250.00. While this amount is not deductible as a charitable contribution, it may be deductible as an ordinary business expense. Please consult your tax or legal advisor.
Soft Spike Advisory – Soft spikes preferred on the Queenstown Harbor Golf Links Courses