Sponsor InformationName* First Last Business Name Email Address* Website Address Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Sponsorship OptionsSponsorship Level*Please Select a Sponsorship Level...Corporate Sponsor ($2500)Platinum Sponsor ($1000)Gold Sponsor ($500)Silver Sponsor ($250)Patron Sponsor ($100)Not this year...Dinner Registration * SINGLE GOLFER $150 (includes golf, cocktail party & dinner) Prepay your foursome by April 15th. and pay only $550 (a $50 savings) * INDIVIDUAL GOLFER & DINNER GUEST $200 * COCKTAILS/DINNER ONLY $50Register for Golf, Dinner, & Cocktails?*---- Select ----Single Golfer - Includes Golf, Cocktail Party & Dinner ($150)Golfer FOURSOME Package ($550)No, thank you...1. Golfer Name First Last 1. Golfer Dinner Choice Prime Rib Chicken Salmon 2. Golfer Name First Last 2. Golfer Dinner Choice Prime Rib Chicken Salmon 3. Golfer Name First Last 3. Golfer Dinner Choice Prime Rib Chicken Salmon 4. Golfer Name First Last 4. Golfer Dinner Choice Prime Rib Chicken Salmon Add Dinner GuestsRegister additional guests to accompany you. Each guest is an additional $60.00 for Dinner and Cocktails.Add 1st Dinner Guest? (+$60.00)* Yes No, thank you. 1. Dinner Guest First Last 1. Guest Dinner Choice Prime Rib Chicken Salmon Add 2nd Dinner Guest? (+$60.00)* Yes No, thank you. 2. Dinner Guest First Last 2. Guest Dinner Choice Prime Rib Chicken Salmon Add 3rd Dinner Guest? (+$60.00)* Yes No, thank you. 3. Dinner Guest First Last 3. Guest Dinner Choice Prime Rib Chicken Salmon Add 4th Dinner Guest? (+$60.00)* Yes No, thank you. 4. Dinner Guest First Last 4. Guest Dinner Choice Prime Rib Chicken Salmon Today's TotalTotal $0.00
