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2010 Memorial Golf Tournament Registration

Please complete the information below to register for the 2010 Tournament.

Notice: This registration form is for planning purposes. It is not secured; therefore, DO NOT include credit card infromation in the comments/question section, as neither the “Heritage Classic” nor the MS Society will accept any liability for loss or damages
resulting from the submission of such information. You will be mailed tournament confirmation.

Your registration fee of $200.00 per person pays for the tournament, post golf banquet,
and includes a gift to the MS Society.
The Golf Fellowship Weekend is Free, you must pay for green fees and cart.

*Email Address:**
*I Will Attend:**
*First Name:**
*Last Name:**
*Number of Golfers:**
Golfer 1:
Handicap or Average Score:
Golfer 2:
Handicap or Average Score:
Golfer 3:
Handicap or Average Score:
Golfer 4:
Handicap or Average Score:
*Address:**
Address 2:
City State *Zip:**
Phone:
Questions/Comments:
	* Indicates Field Is Required.