Anastasi Jellum Charity Golf Event Registration Form Anastasi Jellum Charity Golf Event Registration...
Transcript of Anastasi Jellum Charity Golf Event Registration Form Anastasi Jellum Charity Golf Event Registration...
2016
Anastasi Jellum Charity Golf Event Registration Form
Name of Organization/Business (As it will appear on promotional material)
Golfer names rental clubs (left or right) Golfer names rental clubs (left or right)
Contact Name:
Mailing Address:
City/State/Zip:
E-mail Address: Phone:
Method of Payment: Check is enclosed
Type of card: Visa Mastercard
Credit Card
American Express Discover
Name on card:
Credit card number: Exp. Date:
If you would prefer to give your credit card number over the phone, please call Lindsay Kedzuf at 612-775-2584.
Please make checks payable to Courage Kenny Foundation and send to:Courage Kenny FoundationAttn: Lindsay Kedzuf3915 Golden Valley RoadMinneapolis, MN 55422
For questions, please contact: Deb O'[email protected] 651-332-8315
Yes, I/we would like to participate in the 2016 Anastasi Jellum Charity Golf Event!
Please select the registration category:
Individual $150.00
Foursome $600.00
Dinner Only $35.00
http://donate.allina.com/AnastasiJellumGolfRegistration