Golf Benefit Registration

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15th Annual Golf Benefit for
The Horace Mann School for the Deaf and Hard of Hearing

Monday the 21st. of June 2010
On-line Registration

Sponsorship Selection

DINNER; Oakley's Dinner Buffet

 Platinum

 Gold

 Silver

  I am/ We are unable to attend the golf benefit during the day, but would like to attend the evening dinner, awards ceremony, and auction.
Dinner Buffet: $60.00 per person
Reception: 5:30 PM with dinner to follow

 Bronze

 Individual

 9th Hole

 Hole Sponsorship

 

 

[Click for Sponsorship Pricing]

Make your own foursome, or if you prefer, we’ll place you in a group of equal handicap.

PROVIDE
DINNER ATTENDEE NAMES ABOVE

Contact Name

Handicap

Area Code and Phone Number

E-mail Address

 

FIRST FOURSOME

SPECIAL CONTRIBUTIONS

(Platinum, Gold or Silver, Bronze or Individual -- If sponsored as an individual, let us know if you’d like to be paired with another player(s).)

  Our company does not wish to become a sponsor; however, we would be happy to make a financial contribution to the Horace Mann School for the Deaf and Hard of Hearing. Please include our company name as a Special Contributor in the program.

CONTACT

HANDICAP

NAME

HANDICAP

COMPANY OR INDIVIDUAL NAME SHOULD APPEAR AS:

  Our company does not wish to become a sponsor, but we would be happy to donate a gift as a prize or raffle item. Please have someone contact me

NAME

HANDICAP

NAME

HANDICAP

SECOND FOURSOME

CONTACT NAME

PHONE

(Platinum or Gold)

Please make checks or company purchase orders payable to: Horace Mann School Golf Benefit

CONTACT

HANDICAP

 

NAME

HANDICAP

SEND PAYMENT OR P.O. TO:
Horace Mann School Golf Benefit
P.O. Box 760942
Melrose, MA 02176

NAME

HANDICAP

 

NAME

HANDICAP

Check, Money Order or Credit Card payments will be accepted (American Express, Mastercard, Visa).

THIRD FOURSOME

(Platinum)

 Card Type

CONTACT

HANDICAP

NAME OF CARD HOLDER AS IT APPEARS ON CARD

NAME

HANDICAP

CARD NUMBER

Exp. Month

Exp. Year

If you have questions, please contact Bob Williams at:
Phone: (978) 852-4662
e-mail:  bobwilliamscrm@cs.com

NAME

HANDICAP

NAME

HANDICAP

 

All reservations are final and will be accepted on a first-come, first-served basis.

 

 

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This page was last updated Wednesday, January 20, 2010. 
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