Name* First Last Phone*Email Address* Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Team InformationTeam Name* Are You Participating on the Team?*YesNoTeam Captain Name To ensure we can reach a player from each team to provide updates on day of event, please provide the name and contact information for a player on your team. Team Captain Phone Team Captain Email Player Information – To add an additional player, click on the plus (+) button after each line.NameEmailPhone Number Please provide information about each player on your team. If not all players are known, please fill in the players who are known and provide additional names to Development Director, Trip Lukemeyer at [email protected]. prior to event. Payment InformationPurchase options Foursome $300 Individual $75 Hole Sponsor $100 Fivesome and Hole Sponsor $400 Foursome Price: Individual Price: Hole Sponsor Price: Combo Price: Total $0.00 Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Expiration Date Security Code Cardholder Name CAPTCHAHole Sponsor InformationPlease upload the logo or graphic to use for the Hole Sponsor SignMax. file size: 300 MB.Please provide any wording you would like to see on the Hole Sponsor SignEmailThis field is for validation purposes and should be left unchanged.