SIGN UP BY JANUARY 4TH FOR THE
12th Annual Big Brothers Big Sisters
Putt-A-Round January 18—20 Great River Hall RiverCenter, Davenport www.bbbsmv.org/putt
st e g r a L r o o d in golf mini- in the e courisdwest! M Presented by:
Play 25+ uniquely designed mini-golf holes built by area businesses.
Cash bar and FREE food at every shift provided by over 15 area restaurants and pubs!
Contests, raffle prizes, 50/50 drawings, music, “Money Machine” and Plinko game!
Have a fun time with co-workers, family, groups or friends!
All proceeds benefitting mentoring through:
See early registration incentive on back side!
Register your Putt-A-Round Team by January 4th and be entered into a drawing for a Lexus Milwaukee get-away!
Early, paid registration by Jan. 4th, sponsored by: Use of a Lexus for the weekend, free tank of gas, 2-night stay at Heart of America Holiday Inn, dinner at Thunder Bay Grille and 2 TicketMaster gift cards!
2017 Putt-A-Round Registration Form (Jan. 18-20) Team Captain/Coordinator: _________________________Company/Group: ________________________ Address: ___________________________________City: ____________________ State: ___ Zip: _______ Phone: (______) _____________
□ Cell □ Home
Email: ________________________________________
Registration cost: $100 per team of 4 or $25 per person (all shifts include food) Total number of 4-person teams: ______ X $100/team = Individual registration: ______ X $25/person =
$ _______ $ _______
□ YES, I/my team played in Putt-A-Round 2016, last January. I heard about Putt-A-Round from: _________________________________________
PLEASE CHECK THE SHIFT YOU WILL BE ATTENDING: Wednesday, January 18:
Friday, January 20:
□ 11:30 a.m.—1:30 p.m. LUNCH AND PUTT: Enjoy a fun
□ 11:30 a.m.—1:30 p.m. LUNCH AND PUTT:
□
lunch-time experience! FREE lunch! 5:30—7:30 p.m. AFTER HOURS: Great way to enjoy “Happy Hour”!
Thursday, January 19:
□ 3—5 p.m. HOT SPOT: Wrap up your day the right way. □ 5:30—7:30 p.m. AFTER HOURS: Great way to enjoy “Happy Hour”! Value Pack Raffle Tickets will be available for purchase onsite with cash, debit card or check only. 50/50 drawing, Plinko game, plus 5 raffle tickets!
You must register and pay for your team by Jan. 4th to be eligible for the drawing; otherwise, the form and payment are due by Fri., Jan. 13 to: BBBSMV Attn: Kayla Kiesey 130 W. 5th St., Davenport, IA 52801 FAX: 563-333-2494 PH: 563-323-8006 Email: kkiesey@bbbs-mv.org
www.bbbsmv.com/putt
Enjoy a fun
lunch-time experience! FREE lunch!
□ 3—5 p.m. HOT SPOT: Wrap up your day the right way! □ 5:30—7:30 p.m. AFTER HOURS: Great way to enjoy “Happy Hour”! Payment Options: ____ Check enclosed ____ Invoice me
TOT. ALL CHARGES: $ ________ (Checks payable to Big Brothers Big Sisters; no refunds for no-show pre-registrations) ___ Credit Card: ___ Visa ___ Discover ___ Master Card (AMEX not accepted) Authorization Signature: ______________________________________________________ Date: _________________ Card # ________________________________________________ Exp. Date: ______________ Verification Code (3-DIGIT)____________