Foundation for Retirement Community Westminster MD

Sponsor/Golfer Information Form

Contact Name*

First Last

Company Name

Company Name as You Wish it to Appear in Advertising

Email*

Phone*

Billing Address (Address where credit card statement is sent)*

Street Address City State ZIP Code

Payment Information

Golf Fee Per Player

Quantity of Golfer Fees

Sponsorship Level

Non-Golfer Banquet Ticket $50 Each

Raffle Tickets 3 for $25

Mulligans

I am unable to sponsor or play in the Carroll Lutheran Village Golf Tournament but want to help seniors with need. Please accept my tax-deductible gift.

Enter an amount in the box below.

Total

$0.00

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

*A portion of registration fees are not tax deductible.

Players

Please register my players/foursome(s). Payment covers fees for all players and/or sponsorships.

PLAYER 1: First Name

First

Last Name

Last

Phone

Email

Age

PLAYER 2: First Name

First

Last Name

Last

Phone

Email

Age

PLAYER 3: First Name

First

Last Name

Last

Phone

Email

Age

PLAYER 4: First Name

First

Last Name

Last

Phone

Email

Age

PLAYER 5: First Name

First

Last Name

Last

Phone

Email

Age

PLAYER 6: First Name

First

Last Name

Last

Phone

Email

Age

PLAYER 7: First Name

First

Last Name

Last

Phone

Email

Age

PLAYER 8: First Name

First

Last Name

Last

Phone

Email

Age

For more information contact Monica Burnham at 443-605-1068 or mburnham@clvillage.org.

Sponsor/Golfer Information Form

Payment Information

Players

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