ACT Golf Registration Form

ACT ANNUAL CHARITY CLAY SHOOT

Our target is to inspire and prepare the next generation
Thursday, February 15th - Blackjack Sporting Clays

3372 Co Rd 526 Sumterville, FL 33585
Company Name*
Your Name*

First NameLast Name
E-mail*
ex. greg@movealonginc.org
Phone Number

Area CodePhone Number
We are excited to host you at this years event. Here is our a list of sponsorships and team registration information.
- ACT Member - Team (4 shooters) Plus Stand Sponsor - $1,250
- ACT Member - Team (4 shooters) - $1,200
- Non-ACT Member - Team (4 shooters plus stand sponsor) - $1400
- Ammo Sponsor (Includes One Team)- $2,000
- Cart Sponsor (Includes One Team) - $2,000
- Swag Bag/Door Prize Sponsor - $750
- Beverage Sponsor - $500
- Stand Networking Table - $250
By Check - Please invoice meBy Credit Card
ACT Member Team (4 shooters) Plus Stand Sponsor - $1,250ACT Member Team (4 shooters) - $1,200Non-ACT Member Team (4 Shooter) Plus Stand Sponsor - $1,400Ammo Sponsor (Includes One Team) - $2,000Cart Sponsor (Includes One Team) - $2,000Swag Bag/Door Prize Sponsor - $750Beverage Sponsor - $500Stand Networking Table - $250
If you would like to register for more than one team, please enter the number of teams

Registration and Sponsorship Selection: *

ACT Member Team $1,200.00

4 shooters

Quantity

ACT Member Team Plus Stand Sponsor $1,250.00

4 Shooters

Quantity

Non-Act Member Team and Stand Sponsor$1,400.00

Includes One Team and Stand Sponsor

Quantity

Lunch Sponsor $2,500.00

Includes One Team Registration

Ammo Sponsor$2,000.00

Includes One Team Registration

Cart Sponsor $2,000.00

Includes One Team Registration

Swag Bag/Door Sponsor $750.00

Beverage Sponsor$500.00

Stand Networking Table$250.00

Total $0.00

Act will contact you after registration to get the names of the members of your team.
Should be Empty:

ACT ANNUAL CHARITY CLAY SHOOT