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  Derryfield Country Club
  2008 Men's Association
                 
                 
  Name              
  Address              
  City              
  State       Zip Code      
  Phone              
  Email               
                 
75 Derryfield Country Club Member Association Fee …………..  $     25.00
                 
651 Derryfield Country Club Non - Member Association Fee …………..  $     35.00
                 
76 I Would Like To Support The McDonough Scholarship Foundation  $     10.00
               
1276 I Would Like To Support The First Tee of NH    $     10.00
                 
                 
              Total  
                 
                 
                 
  Transfer from another club          
                 
  GHIN Number:            
                 
  Club Number:            
                 
                 
                 
  Office Use            
                 
  Date Entered Into GHIN Computer:        
                 
                 
  Received By:       Entered By:    

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