Name* First Last Phone*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 Email Team InformationTeam Name Team Member(s) - To add an additional player, click on the plus (+) button after each line.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 trip@hoopshall.com. prior to event. NameEmailPhone Number Purchase options Foursome $300 Individual $75 Hole Sponsor $100 Fivesome Price: Individual Price: Hole Sponsor Price: Total $0.00 Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 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.
