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<html>
<head>
<title>ANRF Golf Classic Application Form</title>
</head>
<body bgcolor="#FFFFFF" bgproperties="fixed">
<div align="center"><center>
<table border="0" cellspacing="0" width="100%" style="margin-bottom: 0; padding-bottom: 0">
<tr>
<td width="12%"><p align="right"><a href="index.htm"><img src="IMAGES/ANR_golf-sm.gif"
alt="Back to Events" border="0" width="80" height="83"></a></td>
<td width="88%"><strong><font face="Comic Sans MS, Arial" size="5" color="#400080">Registration
&amp; Sponsorship Form</font></strong></td>
</tr>
<tr>
<td width="100%" colspan="2"><p align="left"><font face="Comic Sans MS, Arial" size="3"
color="#400080">(To register, print out the form below, complete information and send to
the ANRF.)</font></td>
</tr>
</table>
</center></div><div align="left">
<table border="0" cellpadding="2" cellspacing="0" width="650" style="margin-top: 12"
bgcolor="#FFFF9F">
<tr>
<td width="100" align="right"><font face="Comic Sans MS, Arial"><br>
Name:</font></td>
<td width="550" colspan="3" valign="bottom"><font face="Arial" size="2">__________________________________________________________________</font></td>
</tr>
<tr>
<td width="100" align="right"><font face="Comic Sans MS, Arial">Contact Person:</font></td>
<td width="550" colspan="3" valign="bottom"><font face="Arial" size="2">__________________________________________________________________</font></td>
</tr>
<tr>
<td width="100" align="right"><font face="Comic Sans MS, Arial"><br>
Address:</font></td>
<td width="550" colspan="3" valign="bottom"><font face="Arial" size="2">__________________________________________________________________</font></td>
</tr>
<tr>
<td width="100" align="right"><font face="Comic Sans MS, Arial">Telephone:</font></td>
<td width="150"><font face="Arial" size="2">_____________________________</font></td>
<td width="150"><p align="right"><font face="Comic Sans MS, Arial">Email:</font></td>
<td width="250"><font face="Arial" size="2">_____________________________</font></td>
</tr>
<tr>
<td width="650" align="right" colspan="4"><p align="center"><font
face="Comic Sans MS, Arial">Please make checks payable to: Arthritis National Research
Foundation</font></td>
</tr>
<tr>
<td width="100" align="right"><font face="Comic Sans MS, Arial">Foursome Name:</font></td>
<td width="550" colspan="3" valign="bottom"><font face="Arial" size="2">__________________________________________________________________</font></td>
</tr>
<tr>
<td width="100" align="right"><font face="Comic Sans MS, Arial">Golfer Names:</font></td>
<td width="150" valign="bottom"><font face="Arial" size="2">_____________________________</font></td>
<td width="150"></td>
<td width="250"></td>
</tr>
<tr>
<td width="100" align="right"></td>
<td width="150"><font face="Arial" size="2">_____________________________</font></td>
<td width="150"></td>
<td width="250"></td>
</tr>
<tr>
<td width="100" align="right"></td>
<td width="150"><font face="Arial" size="2">_____________________________</font></td>
<td width="150"></td>
<td width="250"></td>
</tr>
<tr>
<td width="130" align="right"></td>
<td width="130"><font face="Arial" size="2">_____________________________</font></td>
<td width="130"></td>
<td width="260"></td>
</tr>
<tr>
<td width="100" align="right"><font face="Comic Sans MS, Arial">Hole-in-One Donation:</font></td>
<td width="550" colspan="3" valign="bottom"><font face="Arial" size="2">________________________________________________________________</font></td>
</tr>
<tr>
<td width="100" align="right"><font face="Comic Sans MS, Arial">Raffle or Auction Item
Donation:</font></td>
<td width="550" colspan="3"><font face="Arial" size="2">________________________________________________________________</font><p><font
face="Arial" size="2">________________________________________________________________</font></td>
</tr>
<tr>
<td width="100" align="right"></td>
<td width="150"><font face="Comic Sans MS, Arial">Individual Golfer</font></td>
<td width="150"><font face="Comic Sans MS, Arial">$250 per golfer</font></td>
<td width="250" valign="bottom"><font face="Comic Sans MS, Arial">$</font><font
face="Arial" size="2">_________________</font></td>
</tr>
<tr>
<td width="100"></td>
<td width="150"><font face="Comic Sans MS, Arial">Foursome Discount</font></td>
<td width="150"><font face="Comic Sans MS, Arial">$950 per foursome</font></td>
<td width="250" valign="bottom"><font face="Comic Sans MS, Arial">$</font><font
face="Arial" size="2">_________________</font></td>
</tr>
<tr>
<td width="650" colspan="4"><font face="Comic Sans MS, Arial">Please return your check
along with this form by July 8th to:</font></td>
</tr>
<tr>
<td width="100"></td>
<td width="300" colspan="2"><font face="Comic Sans MS, Arial">Arthritis National Research
Foundation<br>
200 Oceangate, Suite 400<br>
Long Beach, CA 90802</font></td>
<td width="250"></td>
</tr>
<tr>
<td width="650" colspan="4"><p align="center"><font face="Comic Sans MS, Arial">Questions?
Please call the Foundation office at 800-588-CURE (2873)</font></p>
<p align="center"><a href="index.htm"><font face="Comic Sans MS, Arial">Main Menu</font></a></td>
</tr>
</table>
</div>
<hr size="4">
<p align="center"><a href="about.htm">[Meet the ANRF]</a> <a href="whatis.htm">[Latest
Research]</a> <a href="giving.htm">[Support the Research]</a> <a href="donors.htm">[Our
Sponsors]</a><br>
<a href="grant.htm">[Grant Application Guidelines</a> <a href="cureart1.htm">[<em>Cure</em>Arthritis
Newsletter]</a> <a href="useful.htm">[Arthritis Info &amp; Links]</a> <a
href="contact.htm">[Contact Us]</a></p>
</body>
</html>