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

Sponsorship level

For an additional fee, you can register more golfers than your sponsorship provides.

Do you want to register additional golfers?

Yes
No

Select additional golfers you want to register.

Raffle tickets

Three $500 Cash Raffle Prizes. Drawing occurs Monday, June 10, and we will contact you if you win.

Hidden

Mulligans

I am unable to sponsor or play in CLV’s Golf Tournament but would like to donate to the resident’s Benevolent Care Fund to help seniors at CLV. 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.

Golfers

Register the following golfers. Payment covers fees for all golfers and sponsorships.

GOLFER 1: First Name

First

Last Name

Last

Phone

Email

Age

Do you want to register another golfer?

Yes
No

GOLFER 2: First Name

First

Last Name

Last

Phone

Email

Age

Do you want to register another golfer?

Yes
No

GOLFER 3: First Name

First

Last Name

Last

Phone

Email

Age

Do you want to register another golfer?

Yes
No

GOLFER 4: First Name

First

Last Name

Last

Phone

Email

Age

Do you want to register another golfer?

Yes
No

GOLFER 5: First Name

First

Last Name

Last

Phone

Email

Age

Do you want to register another golfer?

Yes
No

GOLFER 6: First Name

First

Last Name

Last

Phone

Email

Age

Do you want to register another golfer?

Yes
No

GOLFER 7: First Name

First

Last Name

Last

Phone

Email

Age

Do you want to register another golfer?

Yes
No

GOLFER 8: First Name

First

Last Name

Last

Phone

Email

Age

Please call Monica Burnham at (443) 605-1068 or mburnham@clvillage.org to discuss any aspects of our Golf outing.

Your contact information will not be sold or shared with third-party vendors.

Carroll Lutheran Village is extremely grateful to the individuals and organizations that help support us in our mission of caring for each resident, regardless of their financial limitations. Join us Friday, June 7 at The Links at Gettysburg.

Payment Information

Golfers

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