Hit the Greens 2024 Registration - Bethesda Health Clinic

Register Team of 4 Golfers

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Golfer #1 (Team Captain)

Golfer #1 Name

First

Last

Note: Registration fee will be paid by Golfer #1

Golfer #1 Address

Address Line 1

Address Line 2

City

State

Zip Code

Golfer #1 Phone

Golfer #1 GHIN#

Enter 0 if none

Golfer #1 Email

Golfer #2

Golfer #2 Name

First

Last

Golfer #2 Phone

Golfer #2 GHIN#

Enter 0 if none

Golfer #2 Email

Golfer #3

Golfer #3 Name

First

Last

Golfer #3 Phone

Golfer #3 GHIN#

Enter 0 if none

Golfer #3 Email

Golfer #4

Golfer #4 Name

First

Last

Golfer #4 Phone

Golfer #4 GHIN#

Enter 0 if none

Golfer #4 Email

Entry Fees (Must be paid by Team Captain)

Team Entry Fee

Price: $400.00

Total

$0.00

Authorize.Net

Card Number

Expiration

/

Security Code

Total

$0.00

Bethesda Patient Portal

Register Team of 4 Golfers

Golfer #1 (Team Captain)

Golfer #2

Golfer #3

Golfer #4

Entry Fees (Must be paid by Team Captain)

Patients

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