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Dan Dowson Golf Benefit
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Name_________________________________________________
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Address_______________________________________________
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City, State, Zip________________________________________
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Phone________________________________________________
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Email ________________________________________________
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Package (circle one)
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1. Single Golf and Dinner $100
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2. Team of 4 Golf, Dinner and hole sponsorship $450
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3. Hole Sponsorship only $100
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Total : $_______
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Checks payable to: Dan Dowson Golf Benefit
Return completed form to:
Dan Dowson Golf Benefit
c/o Steve Sayler
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300 W. Orchard
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Indianola, IA 50125
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Registration Deadline: June 6, 2008
Please list players names below:
(limited to ages 18 & older)
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