13th Annual L.C.O.S. Golf Tournament Registration Form

Sponsor/Donor Contact Name

Contact Phone Number

Contact Street Address

Contact City

Contact Zip Code

Contact-Email

Number of Golfers: Number of Golfers: 1 2 3 4 I'm not registering any golfers at this time

Golfer 1 Name

Golfer 1 Phone Number

Golfer 1 Street Address

Golfer 1 City

Golfer 1 Zip Code

Golfer 1 Email

Golfer 2 Name

Golfer 2 Phone Number

Golfer 2 Street Address

Golfer 2 City

Golfer 2 Zip Code

Golfer 2 Email

Golfer 3 Name

Golfer 3 Phone Number

Golfer 3 Street Address

Golfer 3 City

Golfer 3 Zip Code

Golfer 3 Email

Golfer 4 Name

Golfer 4 Phone Number

Golfer 4 Street Address

Golfer 4 City

Golfer 4 Zip Code

Golfer 4 Email

Check the appropriate box(es): Check the appropriate box(es): $2,000 Marquee Sponsor (one only) $500 (minimum) Tournament Sponsor $75 Hole Sponsor $220 Foursome $55 Individual Golfer

Name/Brief Message for Sponsor Sign

Financial Donation Financial Donation $300 $200 $100 Other

Donation Amount

Are you donating an item? Are you donating an item? Yes No

What item(s) are you donating?