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2010 NAIFA-ND – Freedom Builder Fund Golf Tournament
April 28, 2010 at noon
Meadows (Moorhead)

 $150 per person*

           (includes golf, cart, lunch and prizes)

Please return this form by April 1.
Phone: (701) 258-9525; Fax: (701) 222-0103; E-mail: info@naifa-nd.org
Proceeds to benefit the NDAIFA Freedom Builder Fund

Player /Hole / Food & Beverage Sponsor

Please complete and remit with payment to:
         NAIFA-ND - FBF Golf Tournament
        PO BOx 5010
        Bismarck, ND 58502

I Wish to participate as (Please check all that apply)

Hole Sponsor ($100)     

Major Sponsor ($250/$500/$1000)

Player ($150)  My USGA Handicap is:

Hole Sponsor & Player ($250)     

Please complete:

Name          
Company     
Address       
C/S/Z            
E-mail          
Tel               
FAX                    
 Enclosed is my check in the amount of: