registration form - Help of Southern Nevada

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PAYMENT OPTIONS. American Express, Visa or Mastercard • Checks made payable to HELP of Southern Nevada. □ My credit
REGISTRATION FORM Name: ________________________________________________________________ Company:_____________________________________________________________ Address: ______________________________________________________________ City:______________________________________ State:

Zip:

.

Telephone: ____________________________________________________________ Email:_________________________________________________________________ Golfer 1 Name:______________________________________ Email:__________________________________________ Golfer 2 Name:______________________________________ Email:__________________________________________ Golfer 3 Name:______________________________________ Email:__________________________________________ Golfer 4 Name:______________________________________ Email:__________________________________________

All sponsors may add an item to the event gift bags. Deadline for company logo for pin flag is May 26, 2016. ***Please submit logo in .eps format to [email protected]***

PLEASE CHECK THE FOLLOWING WHERE APPLICABLE  Caddie Sponsor $4,500

 Breakfast Sponsor $2,500

 Lunch Sponsor SOLD $3,500

 Score Card Sponsor $2,000

 Awards Sponsor $3,500

 Pin Flag $250

 Beverage Sponsor $3,000

 Foursome $1,500

 Golf Cart Sponsor $3,000

 Individual Golfer $375

PAYMENT OPTIONS

American Express, Visa or Mastercard • Checks made payable to HELP of Southern Nevada  My credit card information is below

 Check enclosed

 Regretfully, I cannot attend, but would like to donate $______

Credit Card #: _______________________________________________ Expiration Date:_

__________ / __________

CSV: _________

Name on Card: _______________________________________________

Signature: ___________________________________________________ By entering your name in this field, you are electronically signing this document.

Please send registration form and payment information to: Abby Quinn, Chief Community Relations Officer HELP of Southern Nevada • 1640 E. Flamingo Rd, Las Vegas, NV 89119 To send electronically email [email protected] • Questions? Call (702) 836-2130