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Registration

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: