GOLF REGISTRATION

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TEES FOR TEENS REGISTRATION FORM

Complete one form per person (copy this form if needed)
Corporations call for corporate rate
(Please print)

Name _________________________________________________

Address_______________________________________________

City______________________State______Zip______________

Phone_________________________________________________

Corp Name_____________________________________________

E-mail address________________________________________

GOLF PACKAGE
Golf and Banquet $65.00(adult) $50.00(ages 14-17) $35.00(ages5-13)

A LA CARTE
Golf Only Registration (full round of golf) $50.00(adult) $40.00(ages 14-17) $30.00(ages5-13)

Bucket of balls (Driving range) $30.00(adult) $20.00(ages 14-17) $10.00(ages5-13)

Banquet Only $25.00(adult) $20.00(ages 14-17) $15.00(ages5-13)

Donation for a TEEN $____________

MEMORABILIA (Please indicate Size & Quantity)
T-Shirts: ___S ___M ___L ___XL ___XXL ___XXXL
Long sleeve______ $15.00 each
Short sleeve______ $10.00 each

Registration verification and T-shirts will be mailed within one week of payment aproval.
PAYMENT OPTIONS- Credit card, check or money order
CHECK OR MONEY ORDER:
Please print this form and
mail check or money order payable to APATW
16330 Azalea Court, Fontana, CA 92335

CREDIT CARD:
Credit card (visa/master card) payments can be made thru mail or calling numbers below
Chair: Carla Canada (626) 219-5703
Treasurer: Shaunte Mitchell (626) 224-7162

Refund request must be in writing and postmarked by 10/25/06.
No refunds issued on-site