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2010 Jeremy’s Friends Golf Tournament

Please print this form, and remit with your payment to:
           Jeremy's Friends % of Manheim Dallas Fort Worth
           Attn: Russ Coghlan
           12101 Trinity Blvd
           Euless, TX  76040 

        

Golfer 1
Name:
_________________________________________________________

Address:
_________________________________________________________
City, State
Zip
_________________________________________________________

Phone Number:
_________________________________________________________

Shirt Size:
_________________________________________________________
Golfer 2
Name:
_________________________________________________________

Address:
_________________________________________________________
City, State
Zip:
_________________________________________________________

Phone Number:
_________________________________________________________

Shirt Size:
_________________________________________________________
Golfer 3
Name:
_________________________________________________________

Address:
_________________________________________________________
City, State
Zip:
_________________________________________________________

Phone Number:
_________________________________________________________

Shirt Size:
_________________________________________________________
Golfer 4
Name:
_________________________________________________________

Address:
_________________________________________________________
City, State
Zip:
_________________________________________________________

Phone Number:
_________________________________________________________

Shirt SIze:
_________________________________________________________
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