2012 Special Olympics Indiana Charity Golf Classic

REGISTRATION

Name: *

Company/Team:

Work Address: *

City/Town: *

State: *

ZIP/Postal Code: *

Email Address: *

Phone Number: *

Supporting Sponsor-includes foursome, hole and contest sponsor ($2,500)

Golf Foursome ($1,000)

Hole Sponsorship ($300)

Silent Auction Item (minimum value $100)

Goodie Bag Item (150 items needed)

Total Amount

If you signed up for a foursome, we will contact you on July 1 for the names, shirts sizes, and email addresses of your group.

Mail

Word of Mouth

Social Media

Yes

No, thanks