Golf Tournament Registration Form Company Information (Please Print)
Putt with a
PURPOSE
Company Name: _______________________________________________________ Contact Phone Number: _________________________________________________ Contact Email: ________________________________________________________ Please Register the Following Players: Player’s Name
Company Name
Handicap/ Average Score
Payment Options: Invoice Me or Credit Card
Payment Summary
Payment Information (Required)
CU Participant ($150/person) Exhibitor Player ($150/person)
Company Name: ___________________________________ Contact Name for Accounting Questions: _________________ Contact Phone Number: ______________________________ Contact Email: _____________________________________
Open to Non-Exhibiting Companies This Year at $200/Player
Hole Sponsor ($500) Total $________ *Includes Green Fees, Cart, Bag Service, Breakfast, & Lunch
Return original with payment, CREDIT CARD AUTHORIZATION and be sure to make a copy VISA MasterCard for your records. Mail to: LSCU Attn: Accounting P.O. Box 3108 Tallahassee, FL 32315-3108 Fax to: 850.558.1115 All checks must be received before October 19, 2012. Checks received after this date will require credit card payment on site, and the check will be sent back.
_________________________________________________________ Credit Card Number Expiration Date _________________________________________________________ Cardholder’s Billing Address _________________________________________________________ City/State/Zip _________________________________________________________ Print Name _________________________________________________________ Authorized Signature _________________________________________________________ V Number (three digit number found on back of card)
2012 CU4Kids Golf Tournament Grand Marriott | Point Clear, AL November 7, 2012