| Name | Leo Raymond |
|---|---|
| Email hidden; Javascript is required. | |
| Address | 9384 165th Pl N Jupiter, Florida 33478 Map It |
| I would like to: | Register |
| Player Registration | |
| I would like to register as: | A Single Player: $195 ($195.00) |
| Team Captain | Sam Junta |
| Single Player Information | |
| Your Shirt Size | Men - XL |
| Your Handicap | 15 |
| Foursome Information | |
| Instructions | Please provide us with as much information as you have about the players in you foursome. |
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| Sponsorship | |
| Information | We're grateful for your consideration of sponsoring the Mike A. Ruddo Golf Invitational and appreciate your participation! |
| Lunch and/or Dinner Only | |
| Information | For non-golfers who would like to attend, please join us throughout the day to support a great cause. |
| Total | $195.00 |
| I would like to pay by: | Credit Card |
| Check Information | Make Checks out to: Michael A. Ruddo Foundation Mail to: Michael A. Ruddo Foundation 300 Tarpon Lane Virginia Beach, VA 23456 |
| Credit Card | mastercard XXXXXXXXXXXX5930 |
| Mark Paid | No |
