Eureka Golf Outing Registration
Email
Secondary Email
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Email address *
First name *
Last name *
Address 1
City
State
ZIP Code
Cell Phone Number
Are you registering as an individual golfer, a foursome or for dinner only? *
Individual Registration - $150
Foursome - $550
Dinner Only - $30
If registering as a group, please list your additional members.
Golfer #2?
Golfer #3?
Golfer #4
Submit
* required field