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Learn. Engage. Connect. When November 30, 2010 12:00 noon — 5:00 pm Where JW Marriott Wildfire Golf Club The Palmer Signature Course plays up to 7,145 yards, providing a very scenic desert experience. The expansive fairways allow the player to remain in play even on an errant shot. The flashed bunkering on Palmer is superb, and the putting greens carry plenty of undulation, like many Arnold Palmer designs. This Form should be duplicated for additional registrants. Name Company Address City Telephone E-mail Secondary E-mail ❑ Please check here if any of the above information has recently changed. My Handicap Method of Payment ❑ Check or money order made payable to ICSC enclosed for $ Name (as it appears on credit card) Credit Card Number (include all digits) Signature Expiration Date (month/year) State/Province Fax Your ICSC membership I.D.# Registration Information The cost of the Golf Tournament is $150 per player (inclusive of taxes, tournament fees and lunch.) To register, complete the form below, sign the waiver and release statement, and return it with a check payable to ICSC by November 19, 2010 ICSC CenterBuild Golf Tournament P.O. Box 26958 New York, NY 10087-6958 You can also fax (credit card only) to +1 732 6941800 Zip/Postal Code ❑ MasterCard ❑ Visa ❑ AMEX ❑ Discover $ In consideration of your accepting this entry, I, the undersigned, intending to hereafter be legally bound for myself, my heirs, executors, and administrators waive and release any and all rights and claims for injuries and damages I may have against, and agree to hold harmless the International Council of Shopping Centers, JW Marriott Wildfire Golf Club, JW Marriott Desert Ridge Resort & Spa, the cities of Phoenix and Scottsdale, the State of Arizona, The United States of America, all officials, volunteers and organizers of this event, all sponsors, producers and their officers, agents, employees, representatives, successors and assigns for any and all injuries and damages suffered by me in connection with this event, including travel to or from the event, and including injuries that may be suffered by me before, during or after the event, and for all damages caused by me to another person or property. I understand that this waiver includes any claims based on negligence, action or inaction of any of the above parties. I recognize the difficulties of the event and can attest and certify that I am sufficiently physically fit to compete safely and that I have not been advised otherwise by a qualified medical person. Print Name Signature Date