REGISTRATION FORM SPONSORSHIP PACKAGES

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Registration includes: 18 holes of golf, greens fees, cart, skins, lunch, beverages, snacks in the clubhouse and pullover jacket. To Register: Complete and return the registration form to Fax: (573) 986-7338, Email: [email protected] or Mail to: Southeast Baseball, Attn: Golf Tournament, One University Plaza – MS 0250, Cape Girardeau, MO 63701

REGISTRATION FORM □ Team Entry ($650) □ Individual Entry ($175) Business/Team Name: ___________________________ Contact Name (Player 1): __________________________ Email: ________________________________________ Address: ___________________________________ City: _________________ State: _______ Zip: _________ Phone: ____________________________ Pullover Size: ___________ Player 2 Name: __________________________________ Email: ________________________________________ Address: ___________________________________ City: _________________ State: _______ Zip: _________ Phone: ____________________________ Pullover Size: ___________ Player 3 Name: __________________________________ Email: ________________________________________ Address: ___________________________________ City: _________________ State: _______ Zip: _________ Phone: ____________________________ Pullover Size: ___________ Player 4 Name: __________________________________ Email: ________________________________________ Address: ___________________________________ City: _________________ State: _______ Zip: _________ Phone: ____________________________ Pullover Size: ___________

SPONSORSHIP PACKAGES □ Hole Sponsor - $100: Company logo or name on a sponsor sign placed at a tee box. ***Please fax your logo to (573) 986-7338 or email to [email protected] by Sept. 27, 2013

PAYMENT

AMOUNT: $________ □ MC □ Visa □ Discover □ Check (Please make checks payable to Joe Uhls Fund) Card Number: _________________ Exp: ___/____ Security Code: ______ Name on Card: _________________ ______________________________ Tax deductible to the extent allowed by law. For more information, please contact the baseball office at (573) 986-6002.