Clone of PEMA Golf Registration

2013 PEMA CHARITY GOLF TOURNAMENT
I would like to (check all that apply):
Full Name

First NameLast Name
Company:
Company Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Fax Number

Area CodePhone Number
E-mail:
SPONSORSHIP AND REGISTRATION
Check all that apply
prevnext( X )
Platinum Sponsor$5,000.00

Gold Sponsor$4,000.00

Photo Sponsor$2,500.00

Awards Reception Sponsor$2,500.00

Lunch Sponsor$2,000.00

Cocktail Hour Sponsor$2,500.00

Specialty Drink Sponsor$2,000.00

Hole-in-One Sponsor$2,000.00

Drink Station Sponsor$1,500.00

Longest Drive$1,500.00

Closest to the Pin Sponsor$1,500.00

Charity Drive Sponsor$1,500.00

Tension Relief Sponsor$1,500.00

Hole Sponsor$750.00

GOLF TOURNEY REGISTRATION for PEMA Member$225.00

Number of Players

GOLF TOURNEY REGISTRATION for Non-PEMA Member$250.00

Number of Players

Total $0.00
Please make check payable to PEMA and send it to:

PEMA c/o Ilene Packer, Waste Management, 3 Mountain Laurel, Irvine, CA 92604
GOLF ENTRY FORM
Single Player
Full Name

First NameLast Name
Please indicate whether you are a PEMA member or not
Company:
Company
E-mail:
Address:
Address if different from above:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number:

Area CodePhone Number
Foursome
Golfer #1
Full Name

First NameLast Name
Please indicate whether you are a PEMA member or not
Company:
E-mail:
Address:
Address if different from above:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Golfer #2
Full Name

First NameLast Name
Please indicate whether you are a PEMA member or not
Company:
E-mail:
Address:
Address if different from above:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number:

Area CodePhone Number
Golfer #3
Full Name

First NameLast Name
Please indicate whether you are a PEMA member or not
Company:
E-mail:
Address:
Address if different from above:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number:

Area CodePhone Number
Golfer #4
Full Name

First NameLast Name
Please indicate whether you are a PEMA member or not
Company:
E-mail:
Address:
Address if different from above:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number:

Area CodePhone Number
Should be Empty:

Check all that apply

Golfer #1

Golfer #2

Golfer #3

Golfer #4