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Lane Tech Alumni
Association Office:

2501 W. Addison
Room 110W
Chicago, IL 60618

Email:
alumnioffice@lanetechalumni.org

Phone:
773-935-9351

Fax:
773-935-4570


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8th Annual LTAA Golf Outing Registration
Date: Tuesday, July 20th, 2010
Location: Traditions at Chevy Chase Golf Course-1000 N. Milwaukee Avenue, Wheeling, IL

Golf & Dinner: $120
Golf Only: $90
Dinner Only: $50

Player #1 - Your name and information
Package: Golf & Dinner ($120.00) Golf Only ($90.00) Dinner Only ($50.00)
Name:
Address:
City:
Phone: - -
Email:

Player #2
Package: None Golf & Dinner ($120.00) Golf Only ($90.00) Dinner Only ($50.00)
Name:
Address:
City:
Phone: - -
Email:

Player #3
Package: None Golf & Dinner ($120.00) Golf Only ($90.00) Dinner Only ($50.00)
Name:
Address:
City:
Phone: - -
Email:

Player #4
Package: None Golf & Dinner ($120.00) Golf Only ($90.00) Dinner Only ($50.00)
Name:
Address:
City:
Phone: - -
Email:


Names of Additional members of your foursome
* if not listed above:


Total = $