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Individual name or team captain * First Last
Email for individual or team captain *
Phone Number for individual or team captain * ### - ### - ####
Name of team member First Last
Name of team member First Last
Name of team member First Last
Amount *
Individual $50.00 Team of four $200.00 Student individual $40.00 Student team of four $160.00
Make checks payable to:

Marshall University Foundation Inc. (MUFI)
Memo to: J-School Golf Scramble
Mail checks to:

Marshall University
Allyson Goodman
School of Journalism & Mass Communications
One John Marshall Drive
Huntington, WV, 25755
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