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Thank you for registering for the RSB Golf Outing
Team Cost: $300  Individual Player: $75.00
Go to PayPal Account: fitzsimmonsmichelle15@gmail.com or
Make Checks payable to the Russell Barone Scholarship Fund
10 Sickles Avenue, Mount Morris, N.Y. 14510

1.First and Last Name
2.Foursome/Group Name
3.Email Address
4.Optional: Mailing Address
5.Optional: Phone Number
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