Dana-Farber Cancer Institute
The Jimmy Fund

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Register by Check

To register by check please click on the "printable version" button at the bottom of the screen.

Fill out the form and send in to the address listed below.



REGISTRATION FORM

Enter as a single, twosome, threesome or foursome

Name______________________________________

Address________________________________

City _______________State_____   Zip________         

Email _____________________________________

Phone________________________

Handicap__________  Golf Shirt Size __________

 


Name______________________________________

Address________________________________

City _______________State_____   Zip________         

Email _____________________________________

Phone________________________

Handicap__________  Golf Shirt Size __________

 


Name______________________________________

Address________________________________

City _______________State_____   Zip________         

Email _____________________________________

Phone________________________

Handicap__________  Golf Shirt Size __________

 


Name______________________________________

Address________________________________

City _______________State_____   Zip________         

Email _____________________________________

Phone________________________

Handicap__________  Golf Shirt Size __________

 



Mail by July 23, 2011 to:

The Paddy Classic

C/O Jimmy Fund Golf Program

10 Brookline Place, 6th Floor, Brookline, MA 02445-7226

 

Please make check payable to:

The Patrick Faolan McDonough Memorial


Total Golfers Registered: _____ x $150.00 = $ _______________ golfing fees

Additional Dinner Guests: _____ x $50.00 = $ _______________ dinner fees

Additional Gift:
                                          = $ _______________ 

Total Payment Enclosed:                       = $ _______________ 

 

*Please note that in accordance with IRS regulations, only amounts in excess of $90 per golfer are tax deductible.

For general gifts, the full gift amount is tax deductible.

 

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