(714) 633-1099
Fax
(
714) 771-5178
Registration Form
Name:
Company:
Address:
City:
State:
Zip:
Phone:
Email Address:
Home Course:
Handicap:
Shirt Size:
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Medium
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Participation / Sponsorship:
Play Golf - $400
Tee/Green Sponsor - $350
Program Ad - $550
Corporate Sponsor -$3,500
Gold Sponsor - $5,000
Platinum Sponsor - $10,000
Click here
for a description of Participation Levels.
Dinner Only:
$100 ea.
Other entries in my group include:
Name:
Shirt Size:
Small
Medium
Large
Extra Large
XX Large
Handicap:
Name:
Shirt Size:
Small
Medium
Large
Extra Large
XX Large
Handicap:
Name:
Shirt Size:
Small
Medium
Large
Extra Large
XX Large
Handicap:
Name:
Shirt Size:
Small
Medium
Large
Extra Large
XX Large
Handicap:
We Accept Master Card and Visa
Master Card
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Card Number:
Exp. Date
for more information call (714) 633-1099
all contributions are tax deductible
within legal limits of the law.
(714) 633-1099