Friday Night Couples League League Dues Per Couple: $40.00 Name* First Last Name* First Last Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Best Emails to Contact You* Email* Best Phone Numbers to Contact You*Cell phone preferredPhone*Remitting Payment League dues are $40/couple. Please make check payable to “Quit Qui Oc Golf Club”. And Submit Check to: Rachel Montaba PO Box 236 Elkhart Lake, WI 53020 Or Pay on the first night of league.CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
