b'OMA Promotional Golf Outing Thursday, May 2 7 , 20 21 Golf Registration FormName: _______________________________________________________________________________Company: ____________________________________________________________________________ Address:_____________________________________________________________________________City: State:Zip _________________Phone: Fax: _____________________________________________E-mail: _______________________________________________________________________________A:Full Registration: Includes Golf, Two Beverages, Meal and Awards: $ 115.00 If you bring a foursome, your price will be $420. B:Meal Only: $20.00 (3:30 PM estimated) Please Register the Following Person(s) for the OMA 20 21Promotional Golf Outing:Name(s)CompanyFee____________________________$ ____________________________________ $ ____________________________________ $ ____________________________________ $ ________TOTAL Fees $ ________Check to OMAVisaMCAmExpDiscoverCard # ______________________________________Exp. Date _______ Name on Card____________________________ Billing Zip Code _______ Mail or Fax your Completed Form by May7,20 21toOMA, 7250 Poe Ave., Suite 410Dayton, OH 45414FX: 937-278-0317 Online registration is available at www.ohiomasonry.org'