Please fill out the following information and click "Submit" to register for an event:
First Name: Last Name:
Company:
Address:
City: State: AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY ZIP:
Business Phone: Business Fax:
Alt. Phone: Alt. Fax:
Email (important):
Sponsor Levels: $1,000 - $5,000 Foursome Investment: $5,000 Sponsorship Cost:
Golf Playing Spots:
If you cannot participate, but would like to contribute to the event (100% tax deductible), please indication your donation amount:
Additional Comments:
All sponsorships are tax deductible to the extent allowed by law.
Tim Schulte Tournament Director tschulte@midamericasports.com 6305 N. Milwaukee Ave Suite 1N Chicago, IL 60646 Office Ph. # 773-792-9504 Cell 312-315-2917 Fax # 773-792-6026