Team Captain Contact Information
Fill this section out even if you are not signing up with a team.
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| First Name: |
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| Last Name: |
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| Address: |
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| City: |
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| State: |
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| Zip Code: |
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| Daytime Phone: |
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| Email Address: |
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Event Information
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Sponsorship payments are tax deductible to the extent of the law. Golf registrations are not tax deductible.
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If you do not have a group of four, we will put you in a group.
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| Number of Golfers: |
($150 per golfer) |
| List the members of your group: |
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| Golfer Name 1: |
Paying Separately |
| Golfer Name 2: |
Paying Separately |
| Golfer Name 3: |
Paying Separately |
| Golfer Name 4: |
Paying Separately |
Select the tee time
your group prefers: |
7:30 a.m.
1:30 p.m.
Either |
| Sponsorships: |
Lunch ($2,500)
Breakfast ($1,500)
Championship ($500)
Green Tee ($300)
Cart Sponsor ($200)
No Sponsorship ($0) |
| Shawna Zech Scholarship Fund: |
$ |
I can't make it but I would like to
donate to Bearcat Football: |
$ |
| Total: |
$ |
Cardholder Information
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Cardholder information is same as Team Captain information
Yes No |
| First Name: |
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| Last Name: |
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| Address: |
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| City: |
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| State: |
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| Zip Code: |
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| Phone: |
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| Email Address: |
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