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Registration

|ρ Platinum $1,000 |Includes: Registration for two teams, beverages, lunch, tee sign and inclusion in print ads |

|ρ Gold $600 |Includes: Registration for one team, cart, beverages, lunch and tee sign |

|ρ Tee $200 |Includes: Tee sign |

|ρ Team $400 |Includes: 18 holes of golf, cart, beverages and lunch |

|ρ Individual $100 |Includes: 18 holes of golf, cart, beverages and lunch |

|ρ Donation |Specify amount: $______________ (tax deductible) |

|Play: ____8 am ____2 pm Please indicate # staying for hot Chick-fil-A lunch_______ |

| | | | | |

|Name (Captain) | |HDC or Avg. Score | |E-mail |

| | | |

|Address | |Telephone |

|City, Zip | |Sponsor/Company Name |

|I will be playing with: | | |

| | | | | |

|Name | |HDC or Avg. Score | |E-mail |

| | | | | |

|Name | |HDC or Avg. Score | |E-mail |

|Name | |HDC or Avg. Score | |E-mail |

Please return form and check payable to: Stevens Center, 1576 Kelly Drive, Sanford, NC 27330

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Please support our Platinum Sponsors

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Golf Tournament

Tobacco Road Golf Club

Tuesday, July 23, 2019

Choice of 8:00 am or 2 pm Shotgun Start

Captain’s Choice, flighted play

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James Mitchell III, CFP

Financial Advisor

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Media Sponsor

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**Register as a 4-person team or single**

Registration includes:

• 18 holes of golf with cart

• Beverages

• Hot Chick-fil-A lunch served 12:30 to 1:30

• Merchandise prizes

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Lunch Sponsor

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Prizes for the first hole-in-one

on every par 3.

The first hole-in-one on #8 wins a [?]

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