TEAM SIGN-UP INFORMATION IVY HILL GOLF CLUB | FRIDAY, SEPTEMBER 18 CAPTAIN'S CHOICE | AFTERNOON SHOTGUN START | $75/PLAYER Tee Off Time: 1 P.M.
(subject to change)
Price includes catered lunch, prizes, range balls, cart fee, two (2) drink tickets, and more! To register your team, complete the order form below and deliver it and full payment to Ivy Hill Golf Course (1148 Ivy Hill Drive, Forest, VA 24551), Ashley Plantation Golf Course (919 Greenfield St, Daleville, VA 24083), or Runk & Pratt Corporate Offices (5106 Waterlick Rd, Forest, VA 24551) by mail or drop off. Make checks out to “Runk & Pratt” with “Alzheimer’s Golf Tournament” in the memo line. If you have any questions about the tournament, please call Tracy Newman at (434) 525-2680. For sponsorship questions, please contact Earl Prince at the Corporate Office at (434) 237-2268. Team Captain Name:_________________________________________
TEAM MEMBER NAMES:
E-mail: ____________________________________________________ Phone: (_______)___________________________________________
Team Captain: _____________________________________
Address:___________________________________________________
Member #2: _______________________________________
__________________________________________________________
Member #3: _______________________________________
City: ______________________________________________________
Member #4: _______________________________________
X________________________________________________________ Team Captain Signature
I would like to make an additional contribution to the Alzheimer’s Association. If checked, how much? $___________
I would like to purchase ___ additional lunch tickets for guests for the price of $25/person. (Lunch is included in event registration for participating golfers.) Please Note: All proceeds collected will be donated to the
Registration Cost $75/player =
$ ________.___
Alzheimer’s Association on behalf of Team Runk & Pratt.
Catered Lunch Guest Ticket ($25) x Number of Guests =
$ ________.___
Donations accepted, even without event registration.
Additional Donation to the Alzheimer’s Association =
$ ________.___
Total Amount Enclosed:
$ ________.___
Make all checks out to “Runk & Pratt” with “Alzheimer’s Golf Tournament” in the memo line.