LRCSI 13th Annual Golf Tournament

CSI LITTLE ROCK 12TH ANNUAL GOLF TOURNAMENT

Friday, October 7, 2011 - 8:00 AM shotgun start - Rebsamen Golf Course

Q.1

TEAM & SPONSORSHIP OPTIONS (check all that apply) *

If sponsoring, please include company name, contact name, and phone number in "other" box below. See golf page on LRCSI website for more details on the sponsorships available.

4-person team (includes lunch) - $400.00
individual player (includes lunch) - $100.00
"Team + Hole Sponsor" (includes 4-person team) - $500.00
Hole Sponsor - $150.00
Food & Beverage Sponsor - $300.00
Event Sponsor - $500.00
"Event Sponsor + Team" (includes 4-person team) - $800.00
Lunch only - $15.00
Other:

Q.2

I CAN HELP PROVIDE: (optional)

Volunteers
Door Prizes
Goody Bag items
Other:

Q.3

PLAYER STATUS:

I already have a 4-person team (complete form below)
I have a partial team and will need more players (complete form below)
I am an individual looking for a team to join
I am only a sponsor
Other:

Q.4

TEAM NAME OR SPONSORING COMPANY'S NAME *

Q.5

TEAM CAPTAIN / PLAYER #1 OR SPONSORSHIP CONTACT

Handicap

Full Name

Phone number

Q.6

TEAM CAPTAIN'S EMAIL ADDRESS (OR SPONSORSHIP CONTACT'S EMAIL ADDRESS) *

(e.g. john@example.com)

Q.7

PLAYER #2

Handicap

Full Name

Phone number

Q.8

PLAYER #3

Handicap

Full Name

Phone number

Q.9

PLAYER #4

Handicap

Full Name

Phone number

Q.10

PAYMENT METHOD (prepayment required, credit cards only accepted online) *

I will mail a check made payable to "CSI Little Rock Chapter". Mail to Lori Tanner, LRCSI Golf Tournament, c/o TME, Inc., 5800 Evergreen Dr., Little Rock, AR 72205
Online credit card payment (see golf page at www.csilittlerock.org to securely pay via Paypal)
Other:

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