* Please provide the following minimum information:

 Company Name: 

*Contact Name: 

*Street Address: 

*City: 

*State: 

*Zip: 

*Phone: 

  Fax: 

*Email: 

*Sponsorship Pkg:  Choose One............................................ Charity Sponsor $2,500.00 Unity Sponsor $2,000.00 Fraternity Sponsor $1,000.00 Non-Playing Tee Sponsor $100.00 Single Golf Participant $125.00 Event Dinner $25.00

Player 1 Name: 

Phone: 

Email: 

Player 2 Name: 

Phone: 

Email: 

Player 3 Name: 

Phone: 

Email: 

Player 4 Name: 

Phone: 

Email: