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KEVIN MIYA VETERAN'S DAY GOLF CLASSIC Registration Form _______________________________ Golfer #1 Name:__________________________________________________ Address:________________________________________________ City:_______________________Zip:_________________________ Phone No.:______________________________________________ Email:__________________________________________________ Senior/City Employee: YES or NO Golfer #2 Name:__________________________________________________ Address:________________________________________________ City:_______________________Zip:_________________________ Phone No.:______________________________________________ Email:__________________________________________________ Senior/City Employee: YES or NO Golfer #3 Name:__________________________________________________ Address:________________________________________________ City:_______________________Zip:_________________________ Phone No.:______________________________________________ Email:__________________________________________________ Senior/City Employee: YES or NO Golfer #4 Name:__________________________________________________ Address:________________________________________________ City:_______________________Zip:_________________________ Phone No.:______________________________________________ Email:__________________________________________________ Senior/City Employee: YES or NO Mail form and check to: Kevin Miya Veteran's Day Golf Classic 485 Railroad Avenue Pittsburg, CA 94565 |