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389 Bryan Pt. Drive, Chula Vista CA 91914 Phone: (619) 934-2551 Fax: (619) 271-6659 Web Site: www.usabf.com Email: USABF |
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June 6, 2008 at Salt Creek Golf Club - 1 pm Shotgun Start |
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(1) Complete form, (2) sign, (3) print and (4) fax or mail to USABF |
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Fax number and mailing address shown above |
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| Company | ||
| Contact Name | ||
| Mailing Address | ||
| City St Zip | ||
| Home Phone Email | ||
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Check the package your prefer |
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| Double Eagle Package $500 | ||
| Eagle Package $350 | ||
| Birdie Package $250 | ||
| Par Package $200 | ||
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Total Submitted $ |
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| Payment Method: Check# | ||
| Credit Card: Visa MasterCard American Express | ||
| Expiration Date: **Security Code | ||
| **Your card security code for your MasterCard or Visa card is a three-digit number on the back of your credit card, immediately following your main card number. The card security code for your American Express card is a four-digit number located on the front of your credit card, to the right or left above your main credit card number. | ||
| Name on Credit Card: | ||
| Billing Address: | ||
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| Phone: |
