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TEE OFF PRE-REGISTRATION

If you are interested in participating in the PHEN Golf tournament on June 25, 2008 please complete the pre-registration information below.

I will be a Tournament Sponsor: $5,000
(Includes team of four golfers, banner and hole signage)

I will be an Educational Sponsor: $5,000
(Includes a banner, table exhibit and program book Ad)

I will Sponsor a Hole: $2,500
(Includes team of four golfers and hole signage)

I will Sponsor a Team of Four Golfers: $1,000

I will Join a Team: $250

I am Making a Contribution: $

Send to PHEN:

Prostate Health Education Network, Inc.
One Adams Place
859 Willard Street
Suite 400
Quincy, MA 02169

**Tournament sponsors will be posted on PHEN website with link**
**Sponsors, Participants and Contributors will be listed in the Official Program **
** Includes a Continental Breakfast & Awards Luncheon for Participants **

Fields marked with a * are required.
PHEN respects your privacy and will not under any circumstances misuse or share your information.

Name*
Email Address*
Phone Number*
Organization*
Address*
City*
State*, Zip*
How did you hear about PHEN?*




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