Augie Nelson Golf Tournament – Nebraska Kidney Association

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Augie Nelson Golf Tournament

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Company Name *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Team Captain Phone

Team Captain Email *

Player #1 *

Player #2 *

Player #3 *

Player #4 *

Guest Ticket ($15 per ticket due at registration) *

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4

Golf Cart *

N/A
1
2

Choice of Payment *

Corporate – $ 500.00
Individual Team – $ 300.00
Pay at Registration – $ 0.00
Payment has been sent by mail – $ 0.00

Contact Details

Nebraska Kidney Association
212 S 74th Street, Ste 205
Suite 120A
Omaha, NE 68114

Nebraska Kidney Association
303 E 4th St
PO Box 42
Minden, NE 68959

Email: lisa@kidneyne.org
Telephone: (402) 932-7200

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