Player Information

• Name
• Organization
• Address 1
• Address 2
• City    State   Zip Code
• Daytime Phone    Cell Phone
• E-mail Address

Registration

• Please check one of the following:
  • Single Player - $125
    • One Player
  • Partner Sponsorship - $325
    • Two Players & Eagle Sponsorship
  • Corporate Sponsorship - $550
    • Four Players & Eagle Sponsorship
  • Green Clover Sponsorship - $675
    • Four Players & Eagle Sponsorship
    • Premier listing in program

  Name of Player(s):

  Optional

  Mulligan at $15 each: $

  Putting Contest at $10 each: $

  Payment

   

  Total Payment: $

  I will pay with credit card at the 17th Annual 4-H Golf Classic

  I am sending a check for total amount.

  Please mail checks to:

  • The Florida 4-H Foundation
    3103 McCarty Hall B
    P.O. Box 110225, University of Florida
    Gainesville, FL 32611
    

  Printing & Submitting

  Please print this page before submitting the form so that you have a record of the preferences you indicated.