If you would like to participate in The Markie Foundation's 9th annual charity golf tournament--to benefit children's hospice programs in Northern California--please complete and mail this form with your check to: The Markie Foundation; PO Box 1322; Rocklin, CA 95677.

[ ]  Yes, I would like to play in this year's tournament:

Name:_______________________________________________________________

Address:_____________________________________________________________

City:_______________________________ State:_________ Zip:_______________

Phone Number: _(_____________)_______________________________________

Email Address: _____________________________________________________

Index/Handicap:_____________________________Shirt Size:________________

 

Name:_______________________________________________________________

Address:_____________________________________________________________

City:_______________________________ State:_________ Zip:_______________

Phone Number: _(_____________)_______________________________________

Email Address: _____________________________________________________

Index/Handicap:_____________________________Shirt Size:________________

 

Name:_______________________________________________________________

Address:_____________________________________________________________

City:_______________________________ State:_________ Zip:_______________

Phone Number: _(_____________)_______________________________________

Email Address: _____________________________________________________

Index/Handicap:_____________________________Shirt Size:________________

 

Name:_______________________________________________________________

Address:_____________________________________________________________

City:_______________________________ State:_________ Zip:_______________

Phone Number: _(_____________)_______________________________________

Email Address: _____________________________________________________

Index/Handicap:_____________________________Shirt Size:________________

Tournament & Dinner:

$135 X _______________________ = $________________________

Dinner Only Guest:

$35 X _______________________ = $_________________________

Donation only. Can't attend this year's event:

$_________________________

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