Golf Registration
Saturday, September 17, 2022
Name
*
First Name
Last Name
Company/Sponsor
Company/Sponsor (if applicable)
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Back
Next
Select:
*
Individual (assign me to a team)
Team (add team captain name below)
Sponsor WITHOUT players
Sponsor WITH players
Who is your team captain?
Name of Team Captain
If sponsoring WITH players please list the players names below.
Back
Next
Fees
*
prev
next
( X )
Individual
$75.00
$
75.00
Quantity
1
2
3
4
Item subtotal:
$0.00
$
0.00
Individual Plus (Golfer + 2 Mulligans + 2 Red Tees)
$95.00
$
95.00
Quantity
1
2
3
4
Item subtotal:
$0.00
$
0.00
Silver Sponsor (hole sponsor, no free players)
$150.00
$
150.00
Gold Sponsor (w/2 free players)
$300.00
$
300.00
Platinum Sponsor (w/4 free players)
$600.00
$
600.00
Tournament Sponsor (w/4 free players)
$1,900.00
$
1,900.00
Corporate Sponsor (with 4 free players for 2022 & 2023)
$2,500.00
$
2,500.00
Total
$0.00
$
0.00
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Submit
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