FUSION SC . 1816 HOLMES STREET . LIVERMORE . CA . 94550

REGISTRATION FORM Phone Phone Phone Phone

Golfer 1 > Name: Golfer 2 > Name: Golfer 3 > Name: Golfer 4 > Name:

Email Email Email Email

ORGANISATION NAME CARD

METHOD OF PAYMENT: CHECK ONE

CREDIT CARD NUMBER NAME ON CARD BILLING ADDRESS: NUMBER & STREET CITY, STATE & ZIP SINGLE - $145 TWOSOME - $290

CHECK

CASH: must deliver

EXP. DATE CVC #

FOURSOME - $580

TOTAL PAYMENT

PLEASE SEND COMPLETED FORMS TO: FUSION SC . 1816 HOLMES STREET . LIVERMORE . CA . 94550

LONGEST DRIVE HOLE > $500

CLOSEST TO PIN > $300

SPONSOR A HOLE > $150

* 2 signs with logo on tee and 4 down the fairway - 1 available *

* 2 signs with logo on tee and 2 around the green - 4 available *

* 2 signs with logo on tee - 13 available *

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ALL SPONSORS WILL HAVE PRINT RECOGNITION IN EVENT PROGRAM AND DISTRIBUTION EMAILS SPONSORS RECEIVE 2 TICKETS FOR DINNER CEREMONY AT 6PM IN THE BEEBS CLUB ROOM I WOULD LIKE TO DONATE A RAFFLE PRIZE

ORGANIZATION NAME METHOD OF PAYMENT: CHECK ONE

CONTACT NAME CARD

CHECK

CREDIT CARD NUMBER NAME ON CARD BILLING ADDRESS: NUMBER & STREET CITY, STATE & ZIP

EXP. DATE CVC #

PLEASE SEND COMPLETED FORMS TO

FUSION SC . 1816 HOLMES STREET . LIVERMORE . CA . 94550

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