2017 Golf Outing Registration Form

2017 Golf Outing Registration Form Wednesday, September 27, 2017 Shotgun Start 9:00 a.m.

Olde Homestead Golf Course, New Tripoli, PA Visit the Olde Homestead Golf Course online at: http://www.oldehomesteadgolfclub.com/index.php (Please print) Name: ______________________________________________ Company:________________________________________________ Address:_____________________________________________ City: ________________________________ST.___ Zip:__________ Phone (

)__________________________________________ Email: __________________________________________________

Please Complete if Participating in the

Golf club rentals are available for men and women for $40. The Club rental fee will be charged beforehand on your credit card. All rental clubs will be on the carts upon arrival.

EWQA Golf Tournament Name _________________________________ Handicap _____

 Men’s Women’s

Name _________________________________ Handicap _____

 Left-handed Right-handed

Name _________________________________ Handicap _____ Name _________________________________ Handicap _____

Sponsorship

Golf, Breakfast & Lunch (After Golf): $150.00

 Golf Hole Sponsor: $150

Golf @ $150 each:

$_______

Club Rental @ $40 each:

$_______

Total:

$_______

$_______ Score a hole in one, Company name printed on tee sign.

 Golf Breakfast: $300

$_______

Get everyone off to a good start. Signage.

 Golf Ball Sponsor (Exclusive): $600

$_______ Company logo on golf ball sleeve and signage.

 Golf Beverage Cart Sponsor: $300

$_______ Eat, drink & be merry! Company logo on beverage cart.

 19th Hole Buffet/Luncheon: $350

$_______ Enjoy lunch while congratulating tournament winners. Sponsorship Total: $_______

Payment Options

Checks payable to: EWQA. Mail to EWQA, PO Box 19283, Cleveland, OH 44119 (Return check fee is $50) Complete information below and fax to: 216-465-2180

Credit card (check one)

Credit card payment: $_______________________ Company name on card?

 MasterCard  Visa  Yes

 No

Cardholder name (on card): ___________________________________________________ Security Code ____________ Card Number: ________ / _________ / ________ Expiration ______ Signature _____________________________________ EWQA P: 216-860-0765  F: 216-465-2180  [email protected]  P.O. Box 19283, Cleveland, OH 44119 1