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Golf Registration Form

Name:*

Department or Organization:*

Home/Cell Phone:*

Work Phone:

Email address:*

Affiliation and Associated Fees:*

Flight/Set Level:

Player 1 Information:

Name:*

Score:*

Gender:*

Meal Option*

Email*

Player 2 Information:

Name:*

Score:*

Gender:*

Meal Option*

Email:*

Player 3 Information:

Name:*

Score:*

Gender:*

Meal Option*

Email:*

Player 4 Information:

Name:*

Score:*

Gender:*

Meal Option*

Email:*

Note: For player scores, compute an average score for 18 holes. If basing it on a handicap, please add 71 to handicap for average.

Method of Payment*

Please send checks to:
URecFit
c/o Anna Roskowinski
621 W. Lombard St., Room 407
Baltimore, MD 21201

For more information, please contact Anna Roskowinski at aroskowinski@umaryland.edu or (410) 706-7527. Note: The Annual Golf Tournament is an activity of the University of Maryland Baltimore Foundation, Inc. No portion of the entry fee is tax deductible. JV's are not acceptable.

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Golf Registration Form