CHaD Classic | Registration

Registration

Please print this form and mail to our address below. (A pdf version version is also available. Note: You will need the Adobe Acrobat Reader to view this file.)

Individual Entry

Name _____________________________________________________________

Address ___________________________________________________________

City ____________________________ State ___________________ Zip _______

Phone ___________________________ Email ____________________________

Corporate Sponsorship Entry

Company Name _____________________________________________________
(as it should appear on the Sponsor Board)

Company Address ___________________________________________________

City ____________________________ State ___________________ Zip _______

Company Contact ____________________________________________________

Contact Phone ______________________ Email ___________________________

Players' Names	USGA HCP
1. ____________________________________________	_______
2. ____________________________________________	_______
3. ____________________________________________	_______
4. ____________________________________________	_______

Course Preference (Choice of Course will be given to highest sponsorship level first, then based on order of receipt):
_______ Highland _______ Lakeland

Sponsorship (Please check all that are appropriate):

Playing Sponsorship Levels:

_______ Hogan - $4,000
_______ Jones - $2,500
_______ Palmer - $1,500
_______ Snead - $750
_______ Nicklaus - $300

Additional Opportunities Available:

_______Luncheon Sponsor $ 1,300
_______Hole Sponsorship $ 250
_______Cart Sponsorship $ 100

Enclosed is my check for: $ ___________

Please make check payable to:
QLLA Charities, Inc.
PO Box 1301
Quechee, VT 05059
Attn: Marty Whitney, Treasurer

Questions? Please email Gail Ferney at jngferney@aol.com or call at 802-296-7128.