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Online Dinner Only Registration for the SCS Scramble To Finish Cure Golf Tournament on Thursday, May 25, 2017 at Oak Glen Golf Club in Stillwater, MN

http://www.scstwincities.org

Dinner only?

Spouses, guests, etc. are welcome to join us for dinner, prizes and awards. All attendees are eligible for door prizes.

Contribution Amount

$30 - One dinner (Only)
$60 - Two dinners (Only)
$90 - Three dinners (Only)
$120 - Four dinners (Only)
$150 - Five dinners (Only)
$180 - Six dinners (Only)
$210 - Seven dinners (Only)
$240 - Eight dinners (Only)
$270 - Nine dinners (Only)
$300 - Ten dinners (Only)

Personal Information

First NameRequired
Last NameRequired
EmailRequired
Home AddressRequired
Home Address (line 2)
CityRequired
StateRequired
Zip/PostalRequired
Phone NumberRequired

Payment Information

Debit/Credit Card

Card Number
CSC ?
Expiration

Routing Number
Account Number

Billing Information

Same as home address.
Billing Address
Billing Address (line 2)
City
State
Zip/Postal

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