Golf Team Registration Form

Thirteenth Annual Samuel A. Gilliam Memorial Charity Golf Tournament: Golfer and Contributor Registration
Contact Person*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Company Name (if Sponsored)
GOLFER, TEAM SPONSOR and CONTRIBUTOR LEVELS
prevnext( X )
Team of 4
$440.00



Player (will be added to a team)
$110.00 Quantity



TEAM SPONSOR - $500Signage on one hole Listed in the tournament brochure Listed in the MMHMF newsletter on website and social media pages
$500.00 Quantity



CONTRIBUTOR LEVELS- $299-$200 (select from the drop-down menu below)Name listed in tournament brochure and the newsletter. (select from the drop down below.).
$299.00 CONTRIBUTOR LEVELS- $299-$200



CONTRIBUTOR LEVELS- $99-25Name listed in tournament brochure and the newsletter. (Select your level from the drop down below.)
$99.00 CONTRIBUTOR LEVELS- $99-$25



Total

$0.00
Other Donation Amount:
i.e. $15.00
Thank You for Your Support!

The Martha Mason Hill Memorial Foundation has partnered with Birdies for Charity Dominion Classic sponsored by Town Bank, which will increase your donations by 10%.

ENDS ON OCTOBER 19TH.

Please complete registration and submit this form to access the payment link on the next page. Your charitable golfer donation or contribution will be processed through our PGA Birdies for Charity Campaign

All donations are 100% tax deductible.
Player 1

First NameLast Name
Team Name
Phone NumberEmail
Player 2

First NameLast Name
Phone NumberEmail
Player 3

First NameLast Name
Phone NumberEmail
Player 4

First NameLast Name
Phone NumberEmail
Comments: (i.e. I am a golfer and a donation contributor.)
Should be Empty:

Thirteenth Annual Samuel A. Gilliam Memorial Charity Golf Tournament: Golfer and Contributor Registration