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Name(s) of Golf Tournament Participant(s):

_________________________________________________________

_________________________________________________________

_________________________________________________________


Average Golf Score(s) for eighteen holes:

_________________________________________________________

_________________________________________________________

_________________________________________________________


Total registration fee(s) included with this form (due by May 1, 1999):

$xx per entrant x _____= $______

Entry fees are non-refundable after June 15, 1999

Mail this form with remittance ($65 per Tournament Entrant) to:

  SMN CLASS OF 1979
  REUNION COMMITTEE
  P.O. BOX ____
  MISSION, KS 662__

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