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A&D Tree Service, LLC All Hearts Center BizFlix Video Boss Consulting Capik Creative Design Studio Copies Plus…More Courtyard by Marriott Dragon Hollow Designs EnviroClean Restore Hyde Park Landscape, Inc Jesslance Photo Kernels Cornhole Kevin Wickless Law, LLC Law Office of Chris Albanese, LLC Muenzner Payroll Solutions, LLC Northwestern Mutual ReaLifEmpire, LLC Rose City Financial Services, LLC RSR Trucking Service Sure-Bright Commercial Cleaning Service The Bulletin Thrifty Car Sales of Franklin Towne Liquor Store Uncle D's Blazin BBQ United Builders Supply Co, Inc Waitte's Insurance Agency Inc Zija International Please complete this form and mail it with payments to: Matthew Biggins 94 Locust Circle, Groton CT 06340 Please Make Checks payable to: ROSE CITY BNI For More Information: Matthew Biggins [email protected] (860) 886-2600 REGISTRATION FORM Contact Name: ________________________________________ Contact Name: ________________________________________ Contact Name: ________________________________________ Name: ____________________________________________ Address: ___________________________________________ City: _____________________________________________ Email: ____________________________________________ Name: ____________________________________________ Address: ___________________________________________ City: _____________________________________________ Email: ____________________________________________ Name: ____________________________________________ Address: ___________________________________________ City: _____________________________________________ Email: ____________________________________________ Name: ____________________________________________ Address: ___________________________________________ City: _____________________________________________ Email: ____________________________________________ GOLD FOURSOME GROUP/ORGANIZATION/CHAPTER Individual Golfer: $100 Foursome: $400 Tee Sponsorship: $100

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Page 1: Please complete this form and For More Information ...files.constantcontact.com/1470d50b001/0ff5176c-1457-46c5-ad5e-b... · Zija International Please complete this form and mail it

A&D Tree Service, LLC

All Hearts Center

BizFlix Video

Boss Consulting

Capik Creative Design Studio

Copies Plus…More

Courtyard by Marriott

Dragon Hollow Designs

EnviroClean Restore

Hyde Park Landscape, Inc

Jesslance Photo

Kernels Cornhole

Kevin Wickless Law, LLC

Law Office of Chris Albanese, LLC

Muenzner Payroll Solutions, LLC

Northwestern Mutual

ReaLifEmpire, LLC

Rose City Financial Services, LLC

RSR Trucking Service

Sure-Bright Commercial Cleaning Service

The Bulletin

Thrifty Car Sales of Franklin

Towne Liquor Store

Uncle D's Blazin BBQ

United Builders Supply Co, Inc

Waitte's Insurance Agency Inc

Zija International

Please complete this form andmail it with payments to:

Matthew Biggins94 Locust Circle, Groton CT 06340Please Make Checks payable to:

ROSE CITY BNI

For More Information:Matthew Biggins

[email protected](860) 886-2600

REGISTRATION FORM

Contact Name: ________________________________________Contact Name: ________________________________________Contact Name: ________________________________________

Name: ____________________________________________ Address: ___________________________________________City: _____________________________________________Email: ____________________________________________

Name: ____________________________________________ Address: ___________________________________________City: _____________________________________________Email: ____________________________________________

Name: ____________________________________________ Address: ___________________________________________City: _____________________________________________Email: ____________________________________________

Name: ____________________________________________ Address: ___________________________________________City: _____________________________________________Email: ____________________________________________

GOLD FOURSOME

GROUP/ORGANIZATION/CHAPTER

Individual Golfer: $100Foursome: $400

Tee Sponsorship: $100