Hospice Golf Open Registration / Sponsorship / Donation Golf Open Registration Form FacebookThis field is for validation purposes and should be left unchanged.Contact Name(Required) First Last Company NameAddress(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email(Required) Your Phone Number(Required)Sponsorship Opportunities Presenting Sponsor - COMMITTED Awards Sponsor - $3,500 Golfer Gift Sponsor - COMMITTED Dinner Sponsor - $3,000 Eagle Sponsor - $2,750 Lunch Sponsor - COMMITTED Drink Ticket Sponsor - COMMITTED Golf Cart Sponsor - COMMITTED Breakfast Sponsor - COMMITTED Hole In One Sponsor - $1,000 Cigar Sponsor - $1,000 Ball Launcher Sponsor - $750 Closest to the Pin Sponsor - $750 Longest Drive Sponsor - COMMITTED Photo Sponsor - $500 Sandbox Sponsor - $500 Lotto Board Sponsor - $500 Tee Sign Sponsor - $250 Drink Cabana Sponsor - $500 Foursome/Player Option: One Foursome $1,200 Individual Player $300 I'd Like to Make a Donation: $25.00 $50.00 $100.00 Other Amount Donation Amount: Total You do not need a Paypal Account. Click on PayPal button and choose to Donate/Pay with Debit or Credit Card.Credit Card Info(Required)PayPal Checkout American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name
