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S M L XL XXL |
DRIVER LICENSE NUMBER |
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ADDRESS |
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ZIP CODE |
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HOME PHONE |
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WORK PHONE |
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2) NAME |
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SHIRT SIZE: |
S M L XL XXL |
ADDRESS:
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ZIP CODE
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DRIVER LICENSE NUMBER |
_____________________________ |
HOME PHONE |
_____________________ |
WORK PHONE |
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JIM FILIPPELLI: (520) 797-0388
TOM GARRISON: HM- (520) 647-3678
LORRAINE THOMPSON: HM-(520) 883-3747, CELL (520) 256-9397
“BOAT & ROOM RESERVATIONS NEED TO BE CONFIRMED WITH FLIP”
ROOM DEPOSITS DUE BEFORE JANUARY 15, 2010! Full payment by May 10, 2010! |
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NUMBER OF PERSONS IN YOUR GROUP |
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TEAM REGISTRATION (SAT.-SUN. $110.00) SUNDAY ONLY $90.00 |
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BOAT REGISTRATION (YOURS $10.00) 2 DAYS
**Boat rental prices are unknown at this time! |
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BOAT RENTAL WITH MOTOR ($**) ½ DAY, 0700-1200, (full day $**) |
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ROW BOAT RENTAL, FULL DAY, (8 HOURS) ($**) 2 DAYS |
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TOTAL |
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MAKE CHECK PAYABLE TO: “HAWLEY INVITATIONAL”
(PLEASE RETURN APPLICATIONS BY JUNE 1, 2010 |
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**Each Team should contribute some type of gift for our raffle. Gifts, Cash, Certificates…**
IT WILL ADD TO THE FUN!!! THANKS FOR SUPPORTING “THE DERBY”
MAIL ENTRY FORM TO: Jim Filippelli
11571 N. Monika Leigh Place, Oro Valley, AZ 85737
Any questions e-mail to: jjfilippe@hotmail.com
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