Golf  Registration
 
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REGISTER HERE 

FOR THE KVMI GOLF OUTING
20th Hatfield Open
TUESDAY, SEPTEMBER 22, 2009 
Brier Patch Golf Club, Beckley WV
(Please fill form in completely)


Name:


Company:


Billing Address:



City:

State:

Zip:

Contact Phone:

Fax:

E-mail Address:



NOTICE - THE GOLFING SLOTS ARE ALREADY FILLED -  
Wwe have already registered the maximum number of golfers  
Call Lynn Smith at (304) 414-4300 to check whether there are any cancellations.  
 


Will You be a Hole Sponsor:
Yes, I Will Sponsor a Hole for $250.00


Do you wish an annual Company Membership in the KVMI($100.00 per year):
Yes, Sign my Company up for an Annual Membership


Payment Method:

Please send Invoice
Payment is being Submitted

Questions/Comments:


  

 
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