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Fall golf registration form

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GOLF ENTRY FORM Fall 2006 AFA Golf Tournament RED TAIL Golf Club, Devens, MA Monday, August 7, 2006 Register by mail only and payment only accepted via check Make checks payable to: Air Force Association, Paul Revere Chapter Joseph B. Magnone AFA c/o Northrop Grumman Corporation 25 Mall Road Suite 520 Burlington MA, 01803 781-505-1620 Fax 781-273-2434 I request ______ ticket(s) @ $150 Industry (includes Golf, Prizes and Lunch) I request ______ ticket(s) @ $75/Gov’t AFA Member (includes Golf, Prizes and Lunch) I request ______ ticket(s) @ $95/Gov’t Non-Member (includes Golf, Prizes Lunch and one year Membership) I request ______ ticket(s) @ $50.00/Lunch Only I/my organization/company will be a tournament sponsor @ $300________ Includes: 1 Hole Sponsorship Program Book Recognition Include item in Gift Bag if so desire Luncheon Recognition Total Enclosed ________ Mail to: Selection of teams will be based upon a combination of military, government civilian and industry personnel. We are also taking donations for our raffle to be held after lunch. Please contact Irene Biddy ibiddy@aol.com Members from my organization/company are: Name/Phone #/AFA Membership yes/no ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ Name/Phone #/AFA Membership yes/no ____________________________________ ____________________________________ ____________________________________ ____________________________________ Format for Golf is 4 man scramble The Fall Golf Outing will be a shotgun format starting at 8:00 a.m. at the Red Tail Golf Club, Devens , MA. Coffee and doughnuts will be available at 6:45 a.m. (included in fee). NAME (Please Print): COMPANY: ADDRESS: _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ TELEPHONE NO.: FAX NO.: EMAIL ADDRESS: _________________________________________________ _________________________________________________ _________________________________________________ Please fill out membership application on reverse, please send to Joe Magnone, DO NOT SEND DIRECTLY TO AFA NATIONAL. AFA MEMBERSHIP APPLICATION ________________________________________________________________________ Name Rank ________________________________________________________________________ Address ________________________________________________________________________ City State Zip __Paul Revere Chapter #178_______________________________________________ AFA Chapter Choice Date of Birth ________________________________________________________________________ Phone Email Address Eligibility I am eligible as a member or patron as shown, and I understand the annual $36 fee includes a subscription ($21) to Air Force Magazine. The fee is not deductible as a charitable contribution for federal income tax purposes. □ Current Active Duty □ Previous Service U. S. Armed Forces U. S. Armed Forces □ Current Service □ Spouse/Widow(er), Lineal Ancestor or U. S. Reserve Descendant of any of the above □ Current Service □ Patron (no service with U. S. Armed Forces) U. S. National Guard □ Retired _______________________________ U. S. Armed Forces Branch of Service Professional □ USAF (including civilian) □ NASA □ Other U. S. Government □ Aerospace Industry □ Civil Air Patrol □ Other Job Function □ Management □ Engineering □ Operations □ Procurement □ R and D □ Professional □ Other □ GS 15 and above Payment Options □ $36 for 1 year □ $90 for 3 years Lifetime □ $500 single payment □ $525 extended payments □ Initial payment of $85 with 4 quarterly payments of $110 each □ Initial payment of $85 with 8 quarterly payments of $55 each Method of Payment □ Check enclosed (not cash) □ MasterCard □ American Express □ VISA _____________________________________________________________________________________ Credit Card Exp. Date
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