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Golf Classic Registration

If you know your other players and their information, please provide that information below.  If not, please call or email Kelly Phillpott when you have that information.  Use the blue "submit" button at the bottom of this form to submit this registration and payment.  Thanks!

First Name *
Last Name *
Country
Address Line 1 *
City *
State/Province *
Postal Code *
Credit Card Information
Your total payment will be
Your credit balance will cover
Your credit card will be charged
Your bank account will be charged
Player 2
Player 3
Player 4
Boys & Girls Clubs of Metro Louisiana Administrative Office
8281 Goodwood Blvd, Suite C
Baton Rouge, LA 70806-7742
Boys & Girls Clubs of Metro Louisiana Oscar J. Tolmas Regional Service Center
320 N Carrollton Ave., Suite 101
New Orleans, LA 70119
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