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Individual Form

YES!! I would like to be a part of The 3rd Annual Union County GOP Golf Outing at the beautiful Liberty County Club on Thursday, August 2, 2007.

I will be mailing my check for $62.50 to:

UCGOP - Wanda Hartman
406 North Swafford Road
Liberty, IN 47353

Information:

Name:

Address 1:

Address 2:

City, State, ZIP:

Phone:

Email:


Any Comments?

Click Submit to e-mail this form to a Union County Republican Representative or print this completed form and fax it to (765) 458-7239.

Any questions can be e-mailed to Wanda Hartman or Dan Hubbard

If you would also like to be a sponsor fill out the sponsor form.