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Golfer Information

Number of Golfers (If Applicable):

Golfer 1 (If Applicable)

Name:

City/State:

Telephone:

Email:

Golfer 2 (If Applicable)

Name:

City / State:

Telephone:

Email:

Golfer 3 (If Applicable)

Name:

City / State:

Telephone:

Email:

Golfer 4 (If Applicable)

Name:

City / State:

Telephone:

Email:

Sponsor Information

Sponsor Name (Required):

Sponsor Email (Required):

Sponsorship Level (Required):
4 Golfers $600.003 Golfers $450.002 Golfers $300.001 Golfer $150.00Par Sponsor - T-Box $100Par Sponsor - Flag $100Birdie Sponsor - T-Box & Flag $175Contest Hole - Eagle Sponsor - T-Box $150Contest Hole - Flag Sponsorship $150Contest Hole - T-Box & Flag $300

Payment Method (Required):
I will mail payment by checkI will make payment by PayPal