Registration Page
| Name of Individual | |
| Name of Company | |
| Address | |
| City State Zip | |
| Phone | |
Sponsorship Opportunities (Please check all that apply)
Corporate Gold Sponsorship
$1,000
Corporate Silver Sponsorship
$500
Corporate Bronze Sponsorship
$250
Hole Sponsorship $100
Foursome $400
_____ Individuals @ $100 each
I cannot attend but would like to make contribution of
Total Amount Due $
Method of Payment:
c Check (payable to Evansville Goodwill Industries Inc.)
c Visa c MasterCard c Discover
Name on Card: ________________________________________________________________
Number: ___________________________________Expiration Date: _____________________
Signature: _____________________________________________________________________
| Player # | Name | Address, City, State, Zip |
| 1 | ||
| 2 | ||
| 3 | ||
| 4 |
Please mail completed form to: 23rd Annual Golf Outing, 500 S. Green River Rd., Evansville, IN 47715