Foursome Contact Person (Golfer # 1):

Name:

Street Address:

City:    State:    Zip:

Phone (including area code):

E-Mail:

Shirt Size: Small Medium Large XL XXL XXXL   

Foursome Information (Please select one): Complete Foursome with 4 Players Individual Player, please assisgn me to a foursome

Golfer #2:

Name:   Shirt Size: Small Medium Large XL XXL XXXL

Golfer #3:

Name:   Shirt Size: Small Medium Large XL XXL XXXL

Golfer #4:

Name:   Shirt Size: Small Medium Large XL XXL XXXL

Shotgun Flight Preference (select one): Morning @ 7:30 a.m.

Note: The Afternoon Flight is currently SOLD OUT -- a few spots still remain in the Morning.

Payment Information - $500 per Foursome, $125 per player:

For security reasons, we are unable to accept payment online. After submitting your online registration, please mail payment to:

Ben Kelhoffer Foundation

P.O. Box 531234

Cincinnati, OH 45253

Please make checks payable to: Ben Kelhoffer Foundation.

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