Lost Balls Invitational Registration Form
To Benefit Adrenal Cancer Research at the Rogel Cancer Center
Your Name
*
Email
*
Confirmation Email
example@example.com
Sponsors
See our website for details on the various levels
Choose Your Sponsor Level
Gold Sponsor ($250)
Tee Sponsor ($100)
Eagle Sponsor ($75)
Birdie Sponsor ($50)
Par Sponsor ($25)
I will provide a raffle / auction item
The raffle / auction item I will provide is:
Display Sponsor Name As
Sponsor Website URL
Do you have a Logo file you would like us to use?
Browse Files
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of
Golfers
List your Golfers below
Number of Players for whom you are paying ($100 per player)
*
0
1
2
3
4
Up to 4 Including you
Player 1 Name
Email (P1)
Shirt Size (P1)
Small
Medium
Large
XL
XXL
XXXL
Men's Sizes
Player 2 Name
Email (P2)
Shirt Size (P2)
Small
Medium
Large
XL
XXL
XXXL
Men's Sizes
Player 3 Name
Email (P3)
Shirt Size (P3)
Small
Medium
Large
XL
XXL
XXXL
Men's Sizes
Player 4
Email (P4)
Shirt Size (P4)
Small
Medium
Large
XL
XXL
XXXL
Men's Sizes
Are you playing with anyone else who will register separately?
List the names here
Optional - Would you like to make an Additional Donation?
Enter Amount or leave blank if nothing added
Your Shopping Cart
Sponsor Donation
Golf Fees
Additional Donations
Sub Total
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Yes
No
Thank you for adding this amount to cover Credit Card Fees
Grand Total to be collected
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Total Amount Due
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( X )
USD
When you click SUBMIT you will be redirected to PayPal for payment. You can click on "Pay with Credit Card" or use your PayPal account.
A Receipt will be sent to the email listed above.
Submit
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