LFHS Registration Form - Little Falls Health Services

LFHS Golf Scramble Registration Form

Sponsorship Level(Required)

Name(Required)

First Last

Company

Website

Phone(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Golfers(Required)

CAPTCHA

Payment Method(Required)

Pay with credit card (after submitting this form)

Mail in check

Total

If you wish to pay by check, please print the form below and mail with payment to LFHS by

JUNE 20TH, 2024

Attention: Jeffery Udy Little Falls Health Services 1200 1ST AVENUE NE, LITTLE FALLS, MN 56345