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Registration Form:
(Print/Fill in)

Send to:
Four Leaf Clover Childrens Charity
c/o UMOC
5955 Granite Lake Drive
Suite 150
Granite Bay, Ca. 95746

 
* Please Make all Payments to :
Four Leaf Clover Childrens Charity
.


 

Business Name: ________________________________________

Contact:_______________________________________________

Email:_________________________________________________

Business Address:_______________________________________

______________________________________________________

Business Phone:___________________________

Player’s Name:                                          Shirt Size
1)____________________________________________________

2)____________________________________________________

3)____________________________________________________

4)____________________________________________________

Upon receipt of your payment a confirmation letter will be sent to the address you provide.


You may also download the form as a
PDF

 

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