Just print this registration form, complete it, and mail with full payment to the address below.

Mail this completed form with full payment to:
Orange Belt Shrine Club P.O. Box 7104, Redlands, CA 92373

2007 Orange Belt Golf Tournament Thursday, June 14th TOURNAMENT SPONSOR $500 - PLATINUM - 3' X 6' BANNER or $250 - GOLD - 2' X 4' BANNER HOLE SPONSOR $100 - SILVER - 24" X 24" SIGN or $50 - BRONZE - 22" X 18" SIGN Name: ________________________________________________________________ Address: ______________________________________________________________ Phone: ______________________ GOLF SIGN UP $100 - each player - includes Cart, Green Fees & Lunch PLEASE LIST THE NAMES OF YOUR FOURSOME or [ ] assign me a foursome or [ ] assign me a partner Name: ____________________________________ Phone:______________ Name: ____________________________________ Phone:______________ Name: ____________________________________ Phone:______________ Name: ____________________________________ Phone:______________ Remarks: ______________________________________________________ [ ] Enclosed is my check in the Total amount of $ ________ Name__________________________________________________ Address ________________________________________________ City _______________________ State ____ Zip _______________ Daytime Telephone: _____________________ Evening Telephone: ________

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