11th Annual River Valley United Way Golf Classic
August 8, 2009
Russellville Country Club, Russellville, Arkansas
Registration Form – Deadline July 24, 2009
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.