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Please enter the following information and click the submit button below. You will then be redirected to a secure site where you can input your credit card information.

First Name
Last Name
Address
City
State Zip Phone
Country
Email
Company

Purchase Raffle Tickets at $20 each

Purchase SIX Raffle Tickets at $100 each

Individual Golfer at $200 each

Team of Four Players at $800 each

Please enter each golfer's information below:

Golfer 1 Name:     Handicap:  
Email:  

Golfer 2 Name:     Handicap:  
Email:  

Golfer 3 Name:     Handicap:  
Email:  

Golfer 4 Name:     Handicap:  
Email:  

Name of Team A  


Golfer 5 Name:     Handicap:  
Email:  

Golfer 6 Name:     Handicap:  
Email:  

Golfer 7 Name:     Handicap:  
Email:  

Golfer 8 Name:     Handicap:  
Email:  

Name of Team B  

Comments:  




The Texas Exes Houston Chapter does not sell or divulge e-mail and other contact information to outside parties. Your e-mail address and contact information will only be used in connection with communications for this event and to process your credit card order. Thank you!
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