Team Registration Form
Please provide information about your team so we may have everything prepared for your arrival.
Sponsor's Contact Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Your Team's Information
Player 1 (generally yourself)
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Player 2
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Player 3
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Sponsorship Payment
How will you be paying?
Please Select
Mailing a check
Paying online
Already paid online
To pay online, go to https://the-dereck-whittenburg-foundation.square.site/product/2023-dereck-whittenburg-golf-tournament/23?cs=true&cst=custom. To pay by check, mail to: The Dereck Whittenburg Foundation, 8311-105443 Brier Creek Pkwy, Raleigh, NC 27617.
Submit
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