Smithfield Kiwanis / Towne Bank
2009 Charity Golf Tournament
Online Registration Form

THURSDAY MAY 7, 2009

Cypress Creek Golf Course, Smithfield. VA. 11:30 am Registration, then Lunch
followed by a 1pm Shotgun Start.

Online Registration Form

Register by April 30, 2009 online for just $80.00 per person, or $285.00 per foursome and save!
May 1st Rates increase to $85.00 per person, or $300.00 per foursome

 

Please check one:

Individual or 4 players    

Player #1 - Contact Person Player #2

*Name        
 *Address       
 *City        
 *State        *Zip
 *Phone        
 *E-mail         
*- Required Fields

 Name 
 Address
 City 
 State Zip
 Phone 
E-mail  

Player #3 Player #4

 Name 
 Address
 City 
 State Zip
 Phone 
 E-mail  

 Name 
 Address
 City 
 State Zip
 Phone 
E-mail  

Credit Card Information:
(MasterCard, Visa, AMEX & Discover)
 

Name on Card             Address       

Zip Code             Card Number             

CVV#             Expiration Date        

 

Please Scroll to Confirm the Charges billed by Initial Response, Inc on Behalf of the Smithfield Kiwanis       

Any Comments?

IF YOU PREFER... you may call us to Register over the phone @ 757-365-9317
 

 

 

 

 

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