Committed to helping make the lives of persons with developmental disabilities happier, healthier and more fulfilling
Golf Registration

Please enter the information below for each team member for the 21st Annual O'Berry Center Foundation Golf Tournament.  Be sure to include your company name if your team is being sponsored.  You do not have to register an entire team, you can register as an individual if you like.  We will place you with a team if you are an individual.  We look forward to seeing you at Lane Tree Country Club for this exciting event!

Company Name
(If Sponsored):
Player One
Main Contact:
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
Email:
Phone:
Player Two:
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
Email:
Phone:
Player Three:
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
Email:
Phone:
Player Four:
Address Line 1:
Address Line 2
City:
State:
Zip Code:
Phone::
Email:
Payment Information:
    One Player $65
    Two Players $130
    Three Players $195
    Four Players $260
    I will mail a check to the office:
             O'Berry Center Foundation 
             PO Box 1157
             Goldsboro, NC 27533 
    I will pay by credit card, please send me an invoice with payment instructions.

 

  I will pay by credit card using the Pay Pal button that will appear after submitting this form.

Questions or Comments:
               O'Berry Center Foundation   
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Golf Registration
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