Golf Registration Form
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5th Annual CENTURY 21 New Millennium Charity Golf Scramble June 1, 2009 Fort Belvoir Golf Course
SPONSER REGISTRATION FORM Business Name: Address:
Contact Name: Phone: E-Mail:
Sponsor Level: Gold ($500)
Silver ($250)
Bronze ($100)
Make checks payable to: Bill Lesher C21NM Golf Include (2) business cards
Proceeds to Benefit Children’s Hospital and Other Charities CENTURY 21 New Millennium • 6641-A Old Dominion Dr. • McLean, VA 22101 Each CENTURY 21 office is independently owned and operated.
SPONSER REGISTRATION FORM Business Name: Address:
Contact Name: Phone: E-Mail:
Sponsor Level: Gold ($500)
Silver ($250)
Bronze ($100)
Make checks payable to: Bill Lesher C21NM Golf Include (2) business cards
Proceeds to Benefit Children’s Hospital and Other Charities CENTURY 21 New Millennium • 6641-A Old Dominion Dr. • McLean, VA 22101 Each CENTURY 21 office is independently owned and operated.
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