Anthony Jensen Memorial Golf Outing

Online Registration

Golfer Registration: $150.00 donation per person
includes buffet lunch, refreshments on the course and dinner

	NAME	SHIRT SIZE
Golfer #1:
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Golfer #4:

Non-Golfer Registration: $50.00 donation per person
includes the silent auction, dinner and a good time with friends

	NAME
Non-Golfer #1:
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Non-Golfer #3:
Non-Golfer #4:

Your kind generosity is greatly appreciated! We encourage you to consider making an additional donation to support the Gift of Life Donor Program.

Additional Donation:

Please provide a telephone number in case we need to contact you about your registration.

Telephone Number:

Anthony Jensen Memorial Golf Outing to Benefit Gift of Life is a not-for-profit organization as described in section 501(c)(3) of the Internal Revenue Code. Contributions made in support of the Anthony Jensen Memorial Golf Outing are tax-deductible to the fullest extent allowable by law, However, you must deduct the fair market value for goods or services you received in conjunction with the golf outing and raffle/auctions to determine your charitable contribution. Contributions made in support of the 50/50 raffle are not deductible.

Employer ID # 26-2890967
1035 Peterman Lane, Ambler, PA 19002

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