COMPANY INFORMATION
Name/Team Contact
*
First Name
Last Name
Title
Company Name
Email
*
example@example.com
Phone Number
*
Address/Company Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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PLAYER/SPONSORSHIP INFORMATION
Select one of the following:
I'd like to register a team only
I'd like to be a sponsor only
I'd like to be a sponsor and I'd like to register a team
Player 1 Name
Handicap
Player 2 Name
Handicap
Player 3 Name
Handicap
Player 4 Name
Handicap
How many golf carts will your team bring?
*
Would you like morning flight or afternoon flight?
*
Afternoon Flight
Early Bird discount does not apply to morning flight. If you're wanting to register two teams, please fill out an additional form.
How will you be paying?
*
Credit Card
Invoice
Who do we attention the invoice to?
*
First Name
Last Name
Is the address the same as above?
*
Yes
No
Address to send invoice to
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please check the box(s) to indicate your level of participation (you can select more than one)
*
Platinum Sponsor: $1,600
Gold Sponsor: $1,200
Silver Sponsor: $900
Hole Sponsor: $500
4-Man Team PM Flight: $600
Raffle Donation
Raffle Tickets $2.00 per ticket
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Mulligans 3 for $10.00
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2
Please check the below box(s) to indicate your level of participation
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next
( X )
Platinum Sponsor
$1,600.00
$
1,600.00
Gold Sponsor
$1,200.00
$
1,200.00
Silver Sponsor
$900.00
$
900.00
4-Man Team PM Flight
$600.00
$
600.00
Hole Sponsor
$500.00
$
500.00
Raffle Tickets
$2.00
$
2.00
Each ticket = $2.00
Quantity
0
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Mulligans
$10.00
$
10.00
3 Mulligans for $10.00
Quantity
0
1
2
Raffle Donation
Free
$
Free
I have a raffle donation
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
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