Golf Club Rental - DOC

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					                  GOLF CLUB RENTAL FORM
                AUTHORIZATION FOR CHARGE
               DUE NO LATER THAN April 2nd, 2010

FAX TO: Cheryl Leske (LDC Forum) 763-545-1818 or
EMAIL TO: cleske@ldcforum.com


Tournament: LDC Forum –Southeast
Date: Monday, April 12th.
Golfer: _______________________________________________________________

I, _______________________________, authorize Stone Mountain Golf Club to charge
my credit card for Services rendered (Club Rental Set without golf balls).

Charge Amount $ 40.00___________________
Card Type ________________________________
Card Number _____________________________
Expiration Date ____________________________
Phone Number ____________________________
Name on card _____________________________
Signature _________________________________
Date _____________________________________

Indicate type of clubs:
Mens______ Ladies______
Righthanded_______ Lefthanded ________

Stone Mountain Golf Club:
Stone Mountain Golf Course
1145 Stonewall Jackson
Stone Mountain, GA 30083
Phone: 770-465-3278 x3 Fax: 770-465-3300
http://www.stonemountaingolf.com

				
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