15th Annual L.C.O.S. Golf Tournament Registration Form

Contact Name

Contact Phone Number

Contact Street Address

Contact City

Contact Zip Code

Contact-Email

Are you registering a golfer? Are you registering a golfer? Yes Not at this time

Number of Golfers: Number of Golfers: 1 2 3 4 I'm not registering any golfers at this time

Golfer 1 Name

Golfer 1 Phone Number

Golfer 1 Street Address

Golfer 1 City

Golfer 1 Zip Code

Golfer 1 Email

Golfer 2 Name

Golfer 2 Phone Number

Golfer 2 Street Address

Golfer 2 City

Golfer 2 Zip Code

Golfer 2 Email

Golfer 3 Name

Golfer 3 Phone Number

Golfer 3 Street Address

Golfer 3 City

Golfer 3 Zip Code

Golfer 3 Email

Golfer 4 Name

Golfer 4 Phone Number

Golfer 4 Street Address

Golfer 4 City

Golfer 4 Zip Code

Golfer 4 Email

Golfer Registration Cost: $60 Golfer Registration Cost: $60 I agree to submit payment once I complete my registration

Golfer Registration Cost: $120 Golfer Registration Cost: $120 I agree to submit payment once I complete my registration

Golfer Registration Cost: $180 Golfer Registration Cost: $180 I agree to submit payment once I complete my registration

Golfer Registration Cost: $240 Golfer Registration Cost: $240 I agree to submit payment once I complete my registration

Are you interested in a sponsorship or donation? Are you interested in a sponsorship or donation? Yes Not at this time

Sponsor Contact Name

Sponsor Contact Phone Number

Check the appropriate box(es): Check the appropriate box(es): $2,000 Marquee Sponsor (one only) $500 (minimum) Tournament Sponsor $80 Hole Sponsor

What name or logo would you like on your sign at the event? This will be about the size of a realtor sign and placed on the golf course. If using a logo, please e-mail a .png or .jpeg file to us at lcosgolf@gmail.com.

What name & phone number should be listed in the event-day program for this sponsor?

Phone number for event-day program

Financial Donation Financial Donation $300 $200 $100 Other

Donation Amount

Are you donating an item? Are you donating an item? Yes No

What item(s) are you donating?