Name:
Address:
City/State/Zip:
Phone:
Email:
I will bring a team with these players:
1:
2:
3:
4:
	I prefer to be placed on a team
Comments:	Enter any comments or additional information here. Thanks!
Choose desired date:	May 13, 2011
Participation Level:	pay on-line now     $2500 - High School Sponsor   $1500 - Middle School Sponsor   $1000 - Elementary School Sponsor     $250 - Hole Sponsor     $380 - Foursome       $10 - Dinner Only         $0 - I'm unable to participate, please accept my donation (enter the amount on the PayPal form!)       $20 - Move Up on Hole #12 per team       $40 - 8 Mulligans per Team       $10 - 2 Mulligans per player
Please fax a copy of this completed form to (972) 564-2390.