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Sabetha Community Hospital

2018 Annual Benefit Golf Tournament Registration

Please fill out the information below to register for our golf tournament.
Entry deadline is June 1st. Team cost is $150.
Golf carts are an additional $35 and must be reserved when you sign up.
If paying by check, please send to:
Sabetha Community Hospital
c/o Lori Lackey, PO Box 229
Sabetha, KS 66534
* Name of Person Completing Registration
* Player #1
* Player #2
* Player #3
  Golf Cart
Please click here if you need to reserve a golf cart for this event. Golf cart rental is $35 each.
* Contact Phone Number
* Contact Email
  Additional Information
Use this area if you have any questions or concerns. *We will have your team on our registration list, however, registration is not finalized until payment has been received. Thank you!
* Method of Payment
If paying by mail, please send to: Sabetha Community Hospital, c/o Lori Lackey, PO Box 229, Sabetha, KS 66534
check by mail     credit card/debit card    
Credit Card Information
  Name on card
Please enter name exactly as it appears on card.
  Address
Please enter the address to where your credit card or bank statements are mailed. Include city, state and zipcode
  Amount to Debit
The amount you want us to charge your card. The cost for a three person team is $150. Golf carts are $35 each.
$
  Card Type
  Credit Card Number
  Expiration Date
MM/YY
  CCV Code
This is the 3 digit number located on the back of your Visa, Mastercard or Discover. On American Express, it is the four digit number located on the front.