Individual & Team Registration Form
"Fall Swing" Homecoming
Golf Tournament

DEADLINE FOR PRE-REGISTRATION
18 October 2004 8:00 a.m.

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Team Member #1

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Team Member #2

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Organization / Agency

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Phone

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Team Member #4

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Address

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City, State, Zip

Golf Handicap: _________________________________________________________________________________________________________

FEES:

For individual: $60.00

Team of four persons: $200.00

Late Registration fee: $65.00

________  Check (Make checks payable to FSU Athletic Club/Golf)

Mail Checks to: FSU Athletic Club
P.O. Box 2894
Fayetteville, NC 28302

SPECIAL OFFER

$100.00 Prior to 4 October includes Golf Shirt and Registration

Circle shirt size:  S, M, L., XL, XX, XXX

Quantity ________