GOLF/DINNER REGISTRATION FORM:
Please Register Early !!!!
Limited to only 30 Teams
Team Name__________________________________________
Team Captain:________________________________________
Player 2_____________________________________________
Player 3_____________________________________________
Player 4_____________________________________________
Address_____________________________________________
Phone __________________________
Email:______________________________________________
$500 per team, $125 per person
Dinner Only $40 (5:30 pm Reception & Dinner)
Name(s):____________________________________________
__________________________________________________
Check Enclosed For: ___________
(Payable To: NWORA)
Bill CC Number :______________________________________
Card Type Circle VISA Mastercard
Exp Date:_____________ Security Code:_________________
Signature:__________________________________________
SPONSORSHIP AVAILABLE
Great Opportunities!
Hole Sponsorship $100 Includes on course sign
Contest Prize Sponsor $75Closest to the Pin, Longest Drive, Longest Putt Includes on course sign
Golfer Prize Donation 150 items
Door Prizes - All Gifts Welcome
Sponsorship Form :
Company:________________________________________
Name:________________________________________
Address:________________________________________
Phone:________________________________________
Email:________________________________________
______Hole Sponsorship $100 email logo
______Contest Sponsor $75
______Hole-In-One Sponsor $500
Check Enclosed For: $_________
Bill CC Number :______________________ Card Type Circle: VISA Mastercard
Exp Date:_________Security Code:_____
Signature:________________________________________
____Gift Bag Donation (150 items)
____Door Prize Donation________________
____Enclosed ____Please Pick-Up
Thank you for your support!
Feel Free to Call for More Details
(419)754-7386 Email: kbergerlong@bex.net
DETACH & SEND COMPLETED FORM:
NWORA
PO Box 23291
Toledo OH 43623
Fax (419) 754-7387
