Taylor Delk Sickle Cell Foundation

*REQUIRED INFORMATION
Please Provide at Least One Means of Contact

*Business/Organization Name:
*Participant/Individual Name:
*Address:
*City:
*State:
*Zipcode:
Telephone: (xxx-xxx-xxxx)
Fax: (xxx-xxx-xxxx)
E-Mail:

Event for which you are registering:	2008 Tony Delk Charity Golf Classic – Cordova, TN
Cost for event:	Individual Player - $150.00 To register additional players, please contact Tiffany Delk at (731) 694-8727.

Handicap:
Choose one of the following:
	Assign me to a group.
	I would like to play with the following:
Player 1:
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Player 2:
Name:
Address:
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Phone:
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Player 3:
Name:
Address:
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Player 4:
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