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Dr. D.R. Davis Annual Golf Classic

TO BENEFIT WV CARING HOSPICE

Dr. D.R. Davis Annual Golf Classic Registration

Please complete all sections of this form to register for DR. D.R. Davis Golf Classic at Preston Country Club!

How many players will you be registering?

Registration Fee Per Player

Price:

Player 1 Details

Player 1 Name(Required)

First Last

Player 1 Phone(Required)

Player 1 Email(Required)

Player 1 Address(Required)

Street Address Address Line 2 City State ZIP Code

Player 2 Details

Name

First Last

Player 2 Phone(Required)

Player 2 Email(Required)

Player 2 Address(Required)

Street Address Address Line 2 City State ZIP Code

Player 3 Details

Player 3 Name(Required)

First Last

Player 3 Phone(Required)

Email(Required)

Player 3 Address(Required)

Street Address Address Line 2 City State ZIP Code

Player 4 Details

Player 4 Name(Required)

First Last

Player 4 Phone(Required)

Player 4 Email(Required)

Player 4 Address(Required)

Street Address Address Line 2 City State ZIP Code

Payment Details

Name(Required)

First Last

Phone(Required)

Email(Required)

This email address will receive the confirmation summary of this purchase.

Total

Payment Method(Required)

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code

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Dr. D.R. Davis Annual Golf Classic

TO BENEFIT WV CARING HOSPICE

Dr. D.R. Davis Annual Golf Classic Registration

Player 1 Details

Player 2 Details

Player 3 Details

Player 4 Details

Payment Details

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