REGISTRATION FORM: Please return this portion with payment
Company: ___________________________________________________ Phone: _____________________
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Street City State Zip Code
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Contact Person
I wish to participate as follows:
______ Gold Sponsor @ $1500 ______ Silver Sponsor @ $ 1250 _______ Fireman’s Friend @ $ 500
______ Premium Tee Sponsor @ $200 _______ Standard Tee Sponsor @ $100
______ Foursome @ $300 / per foursome _______ Individual Golfer @ $75 /each
______ Texas Steak Barbeque Only $40
Reservations call Mark at 724-678-5267 or John at 724-377-1156 or Nicholas ay 724-377-0647
Make checks payable to: East Bethlehem Township VFC
Mail to: EBVFC “Strive to Survive” PO Box 445 Fredericktown, Pennsylvania 15333
All Gold and Silver Sponsor Reservations must be made by July 30th, 2009
Gold & Silver Sponsors can also reserve additional foursomes prior to September 1st if available
Open to foursomes and individuals: RSVP opens June 1st, 2009
Golfer’s names must be submitted in by August 1st, 2009
TEAM # 1 (Gold & Silver) TEAM # 2 (Gold)
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Any problems copying the above form call one of the above phone numbers!