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St. Francis Hospital & Health Services > Tobin Benefit Golf Classic > (no title)

Tobin Benefit Golf Classic: (no title)

Title

Company Name

Community Hospital-Fairfax

Contact Person

Ann Schlueter

Phone

(660) 686-2317

Address

26136 Hwy 59

City/State/ZIP

Fairfax, MO 64446

Email

anns@fairfaxmed.com

Sponsorship - Corporate

Sponsorship - Hospitality

Sponsorship - Tee-Off

Sponsorship - Lunch

Sponsorship - Hole

Sponsorship - Club House

Sponsorship - Golf Cart

Sponsorship - Benefactor

Sponsorship Fee

500

Player 1 Name

Rusty Burge

Player 1 Email

Player 1 Address

1606 Childers, Mound City, MO 64470

Player 1 Shirt Size

XL

Player 1 Attending Reception

No

Player 1 Registration Fee

Player 2 Name

Matt Clifton

Player 2 Email

Player 2 Address

22057 Hwy C, Mound City, MO 64470

Player 2 Shirt Size

XL

Player 2 Attending Reception

No

Player 2 Registration Fee

Player 3 Name

Player 3 Email

Player 3 Address

Player 3 Shirt Size

Select

Player 3 Attending Reception

No

Player 3 Registration Fee

Player 4 Name

Player 4 Email

Player 4 Address

Player 4 Jacket Size

Select

Player 4 Attending Reception

No

Player 4 Registration Fee

Total Fees for Golfers

Division Preference

Open

Guest 1 Name

Guest 2 Name

Guest 3 Name

Guest 4 Name

Total Guest Charges

Credit Card Type

Grand Total

500

Credit Card No.

Credit Card Expiration Date

Tee Time

Friday AM (8:30 am)

Sponsorships

Hole - $500

Payment Type

Credit Card

Attachments