THE 2008 PLAY FOR PATRICK CUP

GOLF TEAM RESERVATION FORM

Click Here for Printable Sponsorship Form

Monday, October 6, 2008 – Golf

Druid Hills Golf Club

PLAYER 1 (Captain)

Name: ___________________________________________

Address: ___________________________________________

Telephone: ___________________________________________

USGA Index ___________________________________________

PLAYER 2

Name: ___________________________________________

Address: ___________________________________________

Telephone: ___________________________________________

USGA Index ___________________________________________

PLAYER 3

Name: ___________________________________________

Address: ___________________________________________

Telephone: ___________________________________________

USGA Index ___________________________________________

PLAYER 4

Name: ___________________________________________

Address: ___________________________________________

Telephone: ___________________________________________

USGA Index ___________________________________________

Please make checks payable to "CURE Childhood Cancer/Press On" and mail to:

Stephen R. Chance, 933 East Rock Springs Road, NE, Atlanta, GA 30306.

CURE Childhood Cancer, Inc. is a 501 (c) (3) non-profit corporation funded through private individual
donations, corporate donations, and donations from public and private foundations.

CURE Childhood Cancer/Press On
1835 Savoy Drive,
Suite 317
Atlanta, Georgia 30341-1000

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