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Optimist Club Golf Outing Registration
Enter all the Golfer/Diner information for at least one participant. Select the appropriate number of Golfers with Dinner and Dinner ONLY participants
Click the "Register and Pay Online" button to pay online thru PayPal or Credit Card.
Full Name Golfer/Diner 1(*)
Please enter Golfer/Diner 1's Full Name.
Street Address Golfer/Diner 1(*)
Please enter golfer/diner 1's street address.
Additional Address Golfer/Diner 1
Please enter optional golfer/diner 1 additional address.
City Golfer/Diner 1(*)
Please enter city for golfer 1.
State Golfer/Diner 1(*)
Please enter state of golfer/diner 1.
Zip Code Golfer/Diner 1(*)
Please enter Zip Code for golfer/diner 1.
Telephone Golfer/Diner 1(*)
Please enter phone number for golfer/diner 1
Email Golfer/Diner 1(*)
Please enter email for golfer/diner 1
Full Name Golfer/Diner 2
Please enter Golfer/Diner 2's Full Name.
Street Address Golfer/Diner 2
Please enter golfer/diner 2's street address.
Additional Address Golfer/Diner 2
Please enter optional golfer/diner 2 additional address.
City Golfer/Diner 2
Please enter city for golfer/diner 2.
State Golfer/Diner 2
Please enter state of golfer/diner 2.
Zip Code Golfer/Diner 2
Please enter Zip Code for golfer/diner 2.
Telephone Golfer/Diner 2
Please enter phone number for golfer/diner 2
Email Golfer/Diner 2
Please enter email for golfer/diner 2
Full Name Golfer/Diner 3
Please enter Golfer/Diner 3's Full Name.
Street Address Golfer/Diner 3
Please enter golfer/diner 3's street address.
Additional Address Golfer/Diner 3
Please enter optional golfer/diner 3 additional address.
City Golfer/Diner 3
Please enter city for golfer/diner 3.
State Golfer/Diner 3
Please enter state of golfer/diner 3.
Zip Code Golfer/Diner 3
Please enter Zip Code for golfer/diner 3.
Telephone Golfer/Diner 3
Please enter phone number for golfer/diner 3
Email Golfer/Diner 3
Please enter email for golfer/diner 3
Full Name Golfer/Diner 4
Please enter Golfer/Diner 4's Full Name.
Street Address Golfer/Diner 4
Please enter golfer/diner 4's street address.
Additional Address Golfer/Diner 4
Please enter optional golfer/diner 4 additional address.
City Golfer/Diner 4
Please enter city for golfer/diner 4.
State Golfer/Diner 4
Please enter state of golfer/diner 4.
Zip Code Golfer/Diner 4
Please enter Zip Code for golfer/diner 4.
Telephone Golfer/Diner 4
Please enter phone number for golfer/diner 4
Email Golfer/Diner 4
Please enter email for golfer/diner 4
Number of People Golfing with Dinner(*)
Please select the number of people golfing with dinner
$125.00 Each
Number of People for Dinner ONLY(*)
Please select the number of people for dinner ONLY.
$30.00 each
Total Due 0.00 USD
Mail Checks and Completed Form To:
Farmington/Farmington Hills Optimist Club
P.O. Box 2203
Farmington Hills, MI 48333

For additional information please contact:
Barrie Armstrong
(248) 477-0626
barmstrong2@mi.rr.com
-OR-
Roxanne Fitzpatrick
(248) 470-3584
rfitz@kw.com
Last Day to register for golf or dinner is July 24.
Shotgun start at 9:30 a.m. on August 7, 2018 at
Farmington Hills Golf Club
37777 Eleven Mile Court
Farmington Hills, MI 48335
248-476-5910

Registration and breakfast beginning at 8:00 am
Lunch & beverage cart on course.
Early dinner at 3:30 PM

Full Name of Foursome Leader
Please enter the Full Name of the Foursome Leader