Coach Mike Sheppard Golf Outing Monday, October 9, 2017 ⃞ Enclosed is my payment of $______for ____golfer(s) ($350 per golfer/$1,400 per foursome). ⃞ I am enclosing $1,600 for a foursome and sponsorship of a hole. ⃞ I am enclosing $250 for sponsorship of a hole. I would like my sign to read: ⃞ Enclosed is payment of $_______ for dinner. ($125 per person for cocktails and dinner only). ⃞ I am unable to attend, but would like to donate $_______ to Pirate Blue. ⃞ Please place me in a foursome ⃞ My foursome includes: _________________________________________ _________________________________________ _________________________________________ _________________________________________ Payment Method ⃞ My check in the amount of $ ______ , is enclosed. (Checks made payable to Seton Hall University) ⃞ Please charge $_______ on my: ⃞ Visa ⃞ Mastercard ⃞ American Express Name: ____________________________________ Phone: ____________________________________ Email: ____________________________________ Card #_____________________________Sec.____ Signature _______________________ Exp._____ Please submit your registration form no later than October 2nd. 234001-16511