Please use this form to sign up for the golf tournament.

First Name
Last Name
Paying for Other Players?	Yes No
Organization
Street Address
Address (cont.)
City
Zip/Postal Code	Please SelectAlaskaAlabamaArkansasAmerican SamoaArizonaCaliforniaColoradaConneticutDistrict of ColombiaDelawareFloridaFederated StatesGeorgiaGuamHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirgin IslandsVermontVirginiaWashingtonWisconsinWest VirginiaWyomingOther...
Phone
FAX
E-mail

 

Would you like to sign up for a Sponsorship or maybe just come eat lunch with us?

If you would like to just make a donation, you do not have to sign up, but can just click on the Pay Now button and enter an amount.  Of course, we'd like to know who you are, so filling out the form and selecting 'Make a Donation' would be extremely helpful. Make a DonationNo Sponsorship ($0.00)LUNCH ONLY ($15.00)Sponsor Level 6 ($150.00)Sponsor Level 5 ($250.00)Sponsor Level 4 ($350.00)Sponsor Level 3 ($600.00)Sponsor Level 2 ($800.00)Sponsor Level 1 ($1000.00)

You will need to enter the total amount to be paid on the next page.

REMEMBER:  $250 per Team / $65 for an Individual / $15 for Lunch Only