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Be a Presenting Sponsor

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Payment options appear after this form.  Unfortunately, golf is not available for the 2023 event. 
 

OR

Please press the "Submit" button on the form above before making payment.  

Mail check to ELW Drive for a Cure and copy of this form to:

Charlene Mixa

5048 Pinnacle Drive

Oldsmar, FL  34677

For additional information, call:

727.753.3111

Submit the form above and pay by credit card below:

Thank you
for your 
registration.  We will confirm by email.

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