Registration Form
Entry Deadline – July 31, 2005
Check Appropriate Boxes
Total Amount Enclosed: $ _________________
Please make checks payable to
“Town of Clayton – Golf Outing”
($35.00 is Tax Deductible)
Contact Person: _______________________
Address: _____________________________
City: ________________________________
State/Zip: ____________________________
Signature: ____________________________
IF YOU ARE A SPONSOR, please
Print your company name as your
sponsor sign should read below:
______________________________________
______________________________________
______________________________________
Send your check and registration form to:
Arden Schroeder
Attn: Golf Outing
P. O. Box 13
Larsen, WI 54947
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