10th Annual River Valley United Way Golf Classic

 

Deadline for registration is July 25th, 2008


 

Registration Form

 
  Sponsor Name:
  Address:
  City & Zip:
  Telephone:
  E-mail Address:
     
  NOTE: Should you have any questions, please do not hesitate to call. 479-968-5089

SPONSORSHIP LEVEL

Classic $2,000.00
Corporate $1,000.00
Tee/Green $500.00
Team $300.00
Contributor $___.00
     

Please note: Shirt sizes are only needed for Corporate and Classic sponsorship levels.

  Team Captain: Shirt Size:
  Player #2: Shirt Size:
  Player #3: Shirt Size:
  Player #4: Shirt Size:
     
  Wish to play golf: A.M. Group P.M. Group
   
  Forms of payment accepted are: Cash, Credit Card, Check
  My form of payment is: Check Cash Credit Card
   

Telephone #

If your form of payment is cash or check, please submit the form then mail your check to: River Valley United Way, P.O. Box 636, Russellville, AR 72811 or drop off your payment at 310 N. Boston Place, Suite 2, Russellville, AR.

If you are paying with a credit card, please enter the phone number where you may be reached. We will call you to process your payment upon receipt of your registration.

 
Use this box for any additional comments or information. Thanks!
   
 
 


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