BOWLING GREEN MEN’S SOCCER 2011 ALUMNI WEEKEND
Friday:
April 15th – 16th
5pm Alumni Game v Varsity 8pm Social Hour – DiBenedetto’s
Saturday: 9am Old-Timers Game 1pm Golf Outing
2011 BGSU MEN’S SOCCER ALUMNI WEEKEND REGISTRATION FORM Name(s) ___________________________________________________________________________ Home address ___________________________________________________________________________ City, State, Zip ___________________________________________________________________________ Telephone (home) ______________________Telephone (work) _______________________ Email address __________________________________________________ Individual Golf Early Bird –deadline Feb 28, 2011 ($30 is tax deductable)
__ @ $60
= $________
Regular Registration ($60 is tax deductable)
__ @ $90
= $________
Hole Sponsorship Early Bird –deadline Feb 28, 2011 ($225 is tax deductable) ($345 is tax deductable)
__ @ $240 (without golf ) = $________ __ @ $480 (includes golf for 4) = $________
Regular Registration ($285 is tax deductable) ($525 is tax deductable)
__ @ $300 (without golf) = $________ __ @ $660 (includes golf for 4) = $________
Donation to BGSU Men’s Soccer (donation is tax deductable as indicated above)
=$_________ Total
=$_________
Payment Options Check (made out to: BGSU Men’s Soccer.). Please charge my VISA MasterCard American Express Discover Account number ____________________________ Exp. Date ______/______ CVV Code______ (found on back of card)
Signature : _________________________________ Date: _______________ *By signing this credit card application, I hereby authorize BGSU Men’s Soccer to charge the above amount
Preferred Foursome 1._______________ 2._______________ 3._______________ 4._______________
Hole Sponsorship Name or Group to be on sign: _____________________________________ If you wish to include a logo, e-mail digital image to
[email protected] Return Registration via: Fax to 419-372-6969; or scan and e-mail to
[email protected]; or mail to BG Men’s Soccer, 1610 Stadium Dr., Bowling Green, Ohio 43403
Your support is greatly appreciated as all proceeds go to BGSU Men’s Soccer