Temple Reg Form

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  • August 2019
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Golf Lesson Registration Form Please fill out information below and enter to win a 3-hour lesson package

First name__________________________________________ Last name__________________________________________ Email______________________________________________ Phone_____________________________________________ IF PAYING BY CREDIT CARD Billing Address______________________________________ City_______________________________________________ State______________________________________________ Zip________________________________________________ Credit Card Type (circle one) Amex

Visa

MasterCard

Discover

Card Number_________________________________________ Card Expiration Date___________________________________ Card Security Code____________________________________

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