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Margie Bulboff Memorial Golf Classic

Margie Bulboff Golf Classic

 

*********Pre-registration has now closed. Prices for each are increased by $10.********** 

I am a (choose one):


First Name*  
Last Name* 
Last name when you were a UMMC student
Address* 
City, State, Zip Code*     
Home Phone*() - ext.   
Business Phone() - ext.   
Email* 
Class of 
  • Fee includes cart/green fees, range balls, door prize, and barbecue dinner.
Team Member Preference (four person teams - participant may request up to 3 teammates).
  • Teammate 1:

    Email or Phone:

  • Teammate 2:

    Email or Phone:

  • Teammate 3:

    Email or Phone:

Guest First Name:
Guest Last Name:
Please list any accessibility resources (e.g. sign-language interpreters, wheelchair access, dietary, etc.) you or your guest may require during this event:

Register by Credit Card

Total Amount Charged:

Total number of Students and Residents, including yourself, that you are registering for the golf tournament:   
Total number of Alumni and Friends, including yourself, that you are registering for the golf tournament:   

Credit Card Information


Please use Visa or Mastercard only.
*
*
*
Credit Card Expiration Date*
*
(Located on the back of the card)
If you have any questions please call the Alumni Office at (601) 984-1115 or 800-844-5800 (alumni@umc.edu).