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Golf Scramble Silent Auction Payments and Donations

Use this to pay for an item won at the Silent Auction during the Golf Scramble or to make a donation to Area 10 on behalf of the Golf Scramble.

Name(Required)

First Last

Company or Organization Name

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Payment Type(Required)

Silent Auction Payment

Donation

If paying for silent auction win, please type in name of item here:

Enter Amount:

Total

Payment Method

631 West Edgewood Drive
Ellettsville, IN 47429

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