Registration Form

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Tournament Registration Form

Name ____________________________
Address___________________________
City_______________State___Zip______
Phone____________________________
E_mail____________________________
Name ____________________________
Address___________________________
City_______________State___Zip______
Phone____________________________
E_mail____________________________
Name ____________________________
Address___________________________
City_______________State___Zip______
Phone____________________________
E_mail____________________________
Name ____________________________
Address___________________________
City_______________State___Zip______
Phone____________________________
E_mail____________________________
place me on a team.
Number of players____X $90.00=______
Additional donation to DBEF ______
Total Enclosed ______
Make checks payable to : DBEF
Mail to : DBEF
732 Lavale Drive
Clemmons, NC 27012
*Entries must be received by June 13, 2012

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