Team Captain Contact Information
Fill these out even if you are not signing up with a team.
|
| First Name: |
|
| Last Name: |
|
| Address: |
|
| City: |
|
| State: |
|
| Zip Code: |
|
| Daytime Phone: |
|
| E-mail: |
|
Event Information
|
| Number of Golfers: |
($125 per golfer) |
| List the members of your group: |
If you do not have a group of four, we will put you in a group.
|
| Select the tee time your group prefers: |
7:30 a.m.
1:30 p.m.
Either
|
| Sponsorships: |
Dinner ($2500)
Lunch ($1500)
Breakfast ($700)
Championship ($500)
Green Tee ($300)
White Hole ($200)
Cart ($100)
No Sponsorship ($0) |
| Shawna Zech Scholarship Fund: |
$ |
| I can't make it but I would like to donate: |
$ |
| Total: |
$ |
Cardholder Information
|
Cardholder information is same as Team Captain information
Yes No |
| First Name: |
|
| Last Name: |
|
| Address: |
|
| City: |
|
| State: |
|
| Zip Code: |
|
| Phone: |
|
| E-mail: |
|
|
