Name: St. Anne’s Retirement Community
Address: 3952 Columbia Ave., Columbia, PA, 17512
Telephone: 717-285-5443

Use the form below to register for St. Anne’s Mitre Cup Golf Tournament.

Name *

First

Last

Phone Number *

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Select a Division: *

All Divisions are $300 per golfer.

Select a Team: *

Wear a RED SHIRT for Team Lancaster.
Wear a BLUE SHIRT for Team Lancaster.

Choose a Payment Method: *

**No payment will be taken using this form. Please follow the payment instructions after you click submit. **

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