10th Annual River Valley United Way Golf Classic

August 9, 2008

Chamberlyne Country Club, Danville, Arkansas

 

Registration Form – Deadline July 25, 2008

 

Team Name: ______________________________________________

Team Captain Name: ________________________________________

Team Captain Address: ______________________________________

City, State, Zip: ____________________________________________

Telephone: ________________________________________________

Email: ____________________________________________________

 

Team Member Names:

Captain: __________________________________________________

Player 1: __________________________________________________

Player 2: __________________________________________________

Player 3: __________________________________________________

 

I refer to play in the morning or afternoon round: ____________

 

Sponsorship Level:

Classic: $2,000             ______*

Corporate: $1,000        ______*

Tee/Green: $500          ______

Team Level: $300         ______

 

I prefer to pay with:

 

Check:

Mail registration form with payment to P.O. Box 636, Russellville, AR 72811

 

Credit Card:

 

Number#

Fax completed form to 479-968-5089

Exp. Date:

 

Signature:

 

*Sponsorship at this level includes a Nike** polo shirt for each team member.

If you are playing at the Classic or Corporate sponsorship level,

please list your team members’ shirt sizes below.

 

Shirt 1: _____

Shirt 2: _____

Shirt 3: _____

Shirt 4: _____

 

**River Valley United Way reserves the right to substitute shirt brand and or type due to availability.