PRESIDENTS CUP GOLF CLASSIC 2023

PRESIDENTS CUP GOLF CLASSIC 2023

PRESENTED BY PREMIER FENCE
REGISTRATION
Company/Team Name*
Address
City
State
Zip Code
Phone
Email
TEAM NAME*
Captain*
Name and Handicap
No. 2.*
Name and Handicap
No. 3*
Name and Handicap
No. 4*
Name and Handicap
Please complete the information below:
I ___________ (full name) authorize HCCMidland to charge my credit card...
...account indicated below for $ _____________ (amount)...
... on or after __________ (date)
Format 01/02/2000
This payment for ___________ (description of services)
CREDIT CARD

Form to submit manually or submit electronic payment form at bottom
Address

Billing Address

Street Address Line 2

City, State, ZipState / Province

Postal / Zip Code
Phone
Email
example@example.com
Cardholder Name
Type a question

VisaMaster CardAmerican ExpressDiscover
Account Number
Expiration Date
Format 01/02/2000
CVV2 (3 digit number on back of Visa/MC. 4 digits on front of AMEX)
SIGNATURE

Clear
DATE

MonthDayYear
Date
"I authorize the above-named business to charge the credite card indicated in this authorization form according to the terms outlined above. This payment autho rization is for the goods/services described above. for the amount indicated above plus a 3% convenience fee. and is valid for one time use only. certify that am an authorized user of this credit card and that will not dispute the payment with my credit card company, so long as the transaction corresponds to the terma indicated in this form.

My Products

CART Sponsor• Recognition in promotional material: Your logo on the HCCM Facebook page • Golf package for 4 • One hole sponsorship • Banner at the event (provided by sponsor

$1,552.50 Quantity

Hole Sponsor• Company logo on Sign

$155.25 Quantity

Putting Green SponsorCompany logo at Range/Green

$517.50 Quantity

FoursomeTeam of Four

$672.75 Quantity

Single GolferJoin a team

$181.12 Quantity

Mulligan

$20.00 Quantity

Raffle TicketDrawing for donated items

$10.35 Quantity

Total

$0.00

Credit Card

Total Amount Enclosed $
SEND COMPLETED REGISTRATION FORM AND CHECK PAYABLE TO: HCCMIDLAND P.O. BOX 51404 . MIDLAND, TX 79710 OR EMAIL TO HISPANICCULTURALCENTERGGMAIL.COM OR FAX TO 432-683-4426
Should be Empty:

PRESIDENTS CUP GOLF CLASSIC 2023

REGISTRATION

CREDIT CARD

Credit Card