Date

MM

DD

YYYY

Name *

First Name

Last Name

Phone

(###)

###

####

Please check option (s)

$250 Hole in One (Includes 1 sign at hole)

$225 Dinner Sponsor (Includes 1 sign at dinner)

$200 Putting Contest Sponsor (Includes 1 sign at putting green)

$175 Hit the Green Sponsor (Includes 1 sign at hole)

$175 Cannon Shot Sponsor (Includes 1 sign at hole)

$150 Closest to the Pin Sponsor (Incudes sign on par 3's)

$150 Straight Drive Sponsor (Includes 1 sign at tee)

$125 Sponsor a Hole

If you checked $500 Shirt Sponsor please fill out below.

Shirt Size

Small

Medium

Large

X Large

XX Large

XXX Large

Please Check One Option

Venmo (@Lori-Wasserman)

Cash

Check