| PLAYER INFORMATION |
| Please complete the following information. |
| Name* |
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| Address* |
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| City, State Zip* |
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| Email* |
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| Phone* |
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| What is your Avg Score / USGA Index? Please select one:* |
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| Please select whether you are a team or an individual:* |
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Please list other team members and their Avg Score/
USGA Index (from above list)
If no teammates, type in NONE.* |
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| 12:30pm tee time* |
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| SPONSOR INFORMATION |
| If you are sponsoring a team or wish to sponsor a hole (in addition to participating in the tournament), please complete the following information. |
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✦ HOST SPONSOR - $5,000: Includes two - 4-man team, Company name on all carts, Corporate Banner, and Hole Sponsor, Recognition in all FCA event programs
✦ CORPORATE SPONSOR - $1,000: Includes 4-man team, Corporate Banner and Hole Sponsor
✦ HOLE SPONSOR - $100
FOR NON-SPONSORS: The cost per player is $150 or $600 per team. |
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| Please select a sponsor or player level:* |
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| Please provide the name you would like to use on your sponsorship. |
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| Name of contact |
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| Please provide your billing address. |
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| Contact phone |
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| Contact email |
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| If you have questions or comments, please include them in the space provided. |
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