Team
Order Form
Online Team Entry Form
Player 1 Name
Player 1 Address
Player 1 Phone
Player 1 Email
Player 2 Name
Player 2 Address
Player 2 Phone
Player 2 Email
Player 3 Name
Player 3 Address
Player 3 Phone
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Player 4 Name
Player 4 Address
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Makes Checks payable to:
James B. Collins Memorial Fund, Inc.
4010 North Tonya Marie Cove
Bartlett, TN 38135
Phone: (901) 386-1957
E-mail: jbcollinsmemorialfund@yahoo.com
www.jamesbcollinsmemorialfund.org
REGISTRATION DEADLINE IS
4 OCTOBER  , 2019
We hope that you will join us at Glen Eagle Golf Course for our
Annual James B. Collins Memorial Golf Classic benefiting
Tennessee, Mississippi and Arkansas area students through
scholarships and American Cancer Society.

The mission of the James B. Collins Memorial Fund, Inc. is to
promote continuing education for students in Tennessee,
Mississippi and Arkansas by making a financial contributions to
them in the form of scholarships on an annual basis and to
assist in finding a cure for cancer by making monetary
contributions to the American Cancer Society and other
organizations who share the goal of finding a cure.
The James B. Collins Memorial Fund, Inc. is a 501 (c)(3)
organization.
Team Entry Form