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Please fill in the following information. When you are finished, please print this page BEFORE clicking submit, and send or bring it, along with your check(s) or money order(s) to:

Miami Elks Lodge #948
10301 SW 72nd Street
Miami, Florida 33173-3006
Attn: Golf Tournament Chairman

Please make check(s) or money order(s) payable to Miami Elks Lodge #948.
Your registration will be finalized when your payment is received .

Player Name Address Phone
Player 1:
Player 2:
Player 3:
Player 4: