Unfortunately, we cannot accept credit card information, so you will still need to:

MAKE CHECKS PAYABLE TO:

RESURRECTION LUTHERAN CHURCH

MAIL TO:

RON TATUM

GOOD SAMARITAN FUND

8407 DAHLGREN LANE

 INDIANAPOLIS, IN 46227

 

Please enter the following information to register for the Resurrection Lutheran Church Golf Outing.  Enter up to 4 players.  Submit button is at the bottom of the form.    

    * Indicates Required Field

Player #1:   

   
Name *  
Address *   
City *   
State *   
Phone *  
Email Address *  
I would like to be a hole sponsor for $ 150.00  
Name of Individual or Company  
Contact Person   
Phone  
I would like to come to Dinner for $ 15.00  
I would like to be a worker  
I would like to donate prizes  
I cannot participate but would like to make a donation  
     

Player #2:

    
Name  
Address  
City  
State  
Phone  
Email Address  
I would like to be a hole sponsor for $ 150.00  
Name of Individual or Company  
Contact Person   
Phone  
I would like to come to Dinner for $ 15.00  
I would like to be a worker  
I would like to donate prizes  
I cannot participate but would like to make a donation  
     

Player #3:

    
Name  
Address  
City  
State  
Phone  
Email Address  
I would like to be a hole sponsor for $ 150.00  
Name of Individual or Company  
Contact Person   
Phone  
I would like to come to Dinner for $ 15.00  
I would like to be a worker  
I would like to donate prizes  
I cannot participate but would like to make a donation  
     

Player #4:

    
Name  
Address  
City  
State  
Phone  
Email Address  
I would like to be a hole sponsor for $ 150.00  
Name of Individual or Company  
Contact Person   
Phone  
I would like to come to Dinner for $ 15.00  
I would like to be a worker  
I would like to donate prizes  
I cannot participate but would like to make a donation  
     
     

 
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