Individual Name Handicap Company Name Address City State Zip Home Phone Work Phone E-Mail Address
Golf Shirt Size: S M L XL XXL
Are you attending the banquet?
Yes
No
Other
Golf Entry Fee (per golfer):
$275
None 1 2 3 4
Dinner Banquet Only:
$95
Family Patron:
$150
Yes No
Hole Sponsorship:
$250
Silver Sponsorship:
$500
Gold Sponsorship:
$1,750
Platinum Sponsorship:
$3,000
Beverage Cart Sponsorship:
$1,000
Corporate Sponsorship:
$5,000
ANY Cash Donation Amount:All contributions are greatly appreciated
Less 10% Super Early Bird Discountif paid BEFORE June 30, 2008:
-10%
Less 5% Early Bird Discountif paid BEFORE September 1, 2008:
-5%
Plus 10% Late Feeif paid AFTER October 15th, 2008:
+10%
Payment Method:
Credit Card Check
TOTAL DONATION AMOUNT:
If paying by credit card, the billing address for the card must be the same as the address entered above on the registration form.
To complete registration: