Golf Outing
Bonnie Brook Golf Course 2800 N Lewis Ave, Waukegan, IL
2800 N Lewis Ave, Waukegan, IL
Date:
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From: Name __________________________________ Contact ________________________________ Address_______________________________________________ Telephone # ___________________________________________ E-Mail________________________________________________ I/We agree to purchase a Sponsorship level __________________ for the 2016 Golf Outing. Check #__________________ Check Amount $ _____________ You may email your request to purchase a sponsorship to nnetherton@waukegantownship.com and an invoice will be emailed/mailed to you. For more information contact Nancy Netherton at (847) 244-4900 or email nnetherton@waukegantownship.com. VISA MASTERCARD AMEX
DISCOVER
CC# EXP. DATE SECURITY CODE SIGNATURE
Please make checks payable to: Staben House/ Eddie Washington Center and
mail to: 149 S. Genesee Street Waukegan, Il 60085. ________________________________________ Signature
___________________ Date