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2013 Special Olympics Indiana Charity Golf Classic
- July 26th
REGISTRATION
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Please enter your contact information.
(Required.)
Name:
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Company/Team:
Work Address:
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City/Town:
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State:
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AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code:
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Email Address:
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Phone Number:
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Please sign me up for the following in the 2013 Special Olympics Indiana Charity Golf Classic.
(Required.)
Supporting Sponsor-includes foursome, hole and contest sponsor ($2,500)
Golf Foursome Only ($1,000)
Hole Sponsorship Only ($300)
Silent Auction Item (minimum value $100)
Goodie Bag Item Donation (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.
How did you find out about the Special Olympics Indiana Charity Golf Classic?
Mail
Email
Word of Mouth
Social Media
Returning Golfer
We would like to receive more information about Special Olympics Indiana.
Yes
No, thanks
