I am
CareNet Counseling
Providing Ministries of Growth, Hope and Healing in the Spirit of Christ
403 South Hawthorne Road   ●    Winston-Salem, NC 27103   ●   336.716.0800   ●   www.carenetcounseling.org   
Copyright © 2007-2010 CareNet Counseling, Inc.     Website Development by WhangDoodles, Inc.
CareNet Counseling is nationally accredited by
The Samaritan Institute, Denver, CO
Player 1 - Name
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Player 2 - Name
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Player 3 - Name
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Player 4 - Name
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I am interested in becoming a sponsor at this level.
Please contact me about the benefits
$300 Bronze
$500 Silver
$400 Beverage Cart
$750 Gold
Other Amount  $
Additional
Comments:
Thank You for registering for the 2010 CareNet Counseling Golf Tournament.
Please hit Submit and your information will be forwarded to CareNet Counseling.
PLEASE NOTE:  Registration is not guaranteed until payment is received in full.
Entries must be received by Monday, October 11th at 5pm.
Questions or Inquiries - please call 336-716-0855 or contact
Brenda Thiel

ONLINE REGISTRATION FORM
After registering online, please send total payment due to:

CareNet Counseling, Inc.
Attention:  Katie Boswell
Box 1097 Medical Center Boulevard
Winston-Salem, NC 27157-1097