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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( X )
Platinum Sponsor
$
1,600.00
Gold Sponsor
$
1,200.00
Silver Sponsor
$
900.00
4-Man Team PM Flight
$
600.00
Hole Sponsor
$
500.00
Raffle Tickets
$
2.00
Each ticket = $2.00
Quantity
0
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Mulligans
$
10.00
3 Mulligans for $10.00
Quantity
0
1
2
Raffle Donation
$
Free
I have a raffle donation
Total
$
0.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Enter the message as it's shown
*
Submit
Should be Empty: