Name* First Last Company* Email* Phone:*Address* Street Address Address Line 2 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 Individual and Team Registration $150 - Individual Golfer $600 - Foursome $1200 - Two Foursome Teams Golfers participating in foursome(s):*Mulligans: $10 - Individual Mulligan $40 - Team Mulligans $80 - Team Mulligans x 2 Individual and Team Mulligans. Team Mulligan includes one for each golfer.Sponsorship Options: Platinum - $5,000 (includes foursome, prominent signage at registration and reception, hole sponsorship and program recognition) Gold - $3,000 (includes foursome, signage at registration and reception, hole sponsorship and program recognition) Silver - $2,000 (Includes: hole sponsor, signage, program recognition) Bronze - $1,000 (Includes signage & program recognition) Hole Sponsor - $200 (includes sign displayed at one of the holes on the course) Reception Attendee - $50 (For those who don't golf, but still want to participate) Golfers participating in foursome:*Total $0.00 Payment Type* Invoice Credit Card Special Invoicing Instructions:Credit Card Cardholder Name Card Details