REGISTER ONLINE NOW CLICK HERE

Please print page and cut out registration form and mail
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$125/player -- $500/foursome
Includes Golf, Cart and BBQ Dinner
~$50 of each entry goes directely to Esophageal Cancer Research...Thank You!


If you have a desired 4-some and paying separately, please enter their names in the extra three lines.



Name:___________________________Email:________________
Name:___________________________Email:________________
Name:___________________________Email:________________
Name:___________________________Email:________________



Fashion Show with Wine/Cheese
$40/person
Includes BBQ Dinner!


Name:___________________________Email:________________
Name:___________________________Email:________________


Entry Fee amount enclosed Golf: $_____________
Entry Fee amount enclosed Fashion: $_____________

Total amount enclosed:  *  $________________


ENTRY DEADLINE July 29, 2015

Please Make Checks Payable to:
The MJNEC Foundation

Mail to:
The MJNEC Foundation
C/O Patrick Newton
1636 SW Stringtown Road
Forest Grove, OR 97116


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