ENTRY FEE  $900.00 per team  $300.00 per player                                                                              PRINT REGISTRATION FORM

 


Name (Captain)

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Home Course & Phone

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Checks Payable To:            EDGE WATER SUNRISERS ROTARY CLUB

Mail Form and Entry Fees:         PO BOX 8021 BILOXI, MS 39535

Pro Am Contact:                         The Sunrisers    228-348-1219  or (228) 348-1210

Method of Payment:                        Check # ________   MC/AMEX/VISA ______ AMT:_______

MC/AMEX/VISA #        _____________________________________________________

Card’s Billing Address  _____________________ City_________ST__ ZIP________

CARDHOLDER NAME    ____________________ SIGN:________________________________

 

 

Sartins Vital Care Classic

Player Registration

PHONE REGISTRATION 228-348-1219

                                                   REGISTRATION & PAYMENT

 

             Instructions  Mail in:

 

             1.  Print the registration form           PRINT REGISTRATION FORM

             2.  Fill in your information

             3.  Mail or Fax the form to the Address above

          

             Instructions On Line:

 

             1.  Click the Payment link >>>>>   PAY REGISTRATION FEES ON LINE

 


             Instructions Via Telephone:

             1.  Call >>>>>                                      228-348-1219

                                                      228-348-1210

 

 

 

 

                                         

 

 

Name (Captain)

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Address

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City

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State

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Postal Code

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Phone

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Home Course & Phone

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Name

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Address

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City

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State

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Postal Code

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Phone

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Home Course & Phone

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Name

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Address

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City

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State

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Postal Code

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Phone

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Home Course & Phone

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