Please fill out the form below and click on the submit button. Be sure to click on the sponsorship items you'd like to purchase. If you have any questions or concerns, please write them in the notes below. After you click submit, we'll give you instructions for sending in your payment.

Name:		Email:
Company:
Address
City:
Zip:
Phone:
Other players (2):		Email:
in my group (3):		Email:
(4):		Email:

Foursome with Buffet Dinner* ($600)
Foursome with VIP Teppan Dinner* ($680)
Buffet Dinner* ($50 pp)
VIP Teppan Dinner* ($70 pp)
Corporate Package Sponsor ($1000)
Tee Sign/ Hole Sponsor ($125)
Donation or Gift Value (specify in notes)
Notes or Special Instructions: