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Registration for the 2010 Maxwell Meiborg Foundation Golf Tournament

REGISTRATION FEES
Per Player- $50
Guest - $10

GUESTS
Guests are welcome to join you after the tournament. We ask them for a $10 donation to participate in activities following play.

 
Team Name
   
    ** Please enter First and Last Name for all Players and Guests!
   
       Players
  First Name Last Name
1
 (captain)
2
3
4
  If you do not have a team of 4 players, we will pair you with additional players before the day of the event.
     
       Captain's Info  
 
Address  
 
City  
 
State  
 
Zip  
 
Phone  
 
Email  
     
       Guests  
   
   
   
   

  For more information, please contact Kara Meiborg at (319) 396-3694 or via email

Please make check/money order payable to:
 Maxwell Meiborg Fund
Address:
 MM Foundation
PO Box 8812
Cedar Rapids, IA 52408

 
www.maxwellmeiborgfund.com