2014 Shelby County Chamber Golf Registration Packet

Page 3

Registration Sponsor Information: Choose level desired below:

SOLD

Event Sponsor

Food Sponsor

Silent Auction Item

Cart Sponsor

Flag Sponsor

Goody Bag Item

Contest Hole Sponsor

Cash Donation

Fun Pack

Beverage Sponsor

Team Registration

Contest Hole Sponsorship (Please note, these are first come, first serve.) Women’s Longest Drive

Men’s Longest Drive

Closest to the Pin

Closest to the Line

Hole in One

Contact information Contact:_______________________________________________________________________ Company: _____________________________________________________________________ Address: ______________________________________________________________________ City: _________________________________ State____________________Zip_____________________ Phone:_________________________________________________________________________ Email:__________________________________________________________________________________ NAMES OF ALL GOLFERS ON YOUR TEAM (If Company differs, please specify) Golfer 1: ______________________________ Golfer 2:________________________________ Golfer 3: ______________________________ Golfer 4:________________________________ Payment Options Visa

Mastercard

American Express

Invoice

Check

Name on Credit Card ____________________________________________________________ Card #:_______________________________________________ Expiration Date____________ Signature:______________________________________________________________________ *Check shoud be made to the Shelby County Chamber of Commerce Please mail, email or fax to: Shelby County Chamber of Commerce, 501 North Harrison Street Shelbyville, IN 46176, or courtneychapella@shelbychamber.net or (317)392-3901.


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