The Mylan Classic is here!
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Organization Information
Organization*
Taxpayer ID*
Website

Main Contact
First Name Fax  
Last Name* Address*
Email* City*
Phone* State*
Cell Zipcode*

***Note***
This contact will receive all Tickets Fore Charity emails, correspondence, and check distribution.


Secondary Contact
First Name Fax  
Last Name Address
Email City
Phone State
Cell Zipcode

***Note***
This contact will receive all Tickets Fore Charity emails and correspondence, but WILL NOT receive the monthly check distributions.