Mississippi District 5 Fellowship of Christian Athletes
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4th Annual Commercial Bank FCA Golf Tournament
PLAYER INFORMATION
Please Complete the following information:
Please check all that apply.
I plan on playing in this years Tournament
I will not play in this years tournament. Please use my sponsorship to help cover the cost of area high school and junior high school coaches who want to play.
I am a part of a team.
I do not have a team and would like to be placed on one.
Name*
Address*
City, State Zip*
Email*
What is your Avg Score/ USGA Index? Please select one:
101+ / 20+
93 - 100 / 15.0 - 19.9
86 - 92 / 10.0 - 14.9
81 - 85 / 5.0 - 9.9
76 - 80 / 2.0 - 4.9
71 - 75 / 0 - 1.9
70 and lower/ all + indexes
Please select whether you are a team or an individual:
Team
Individual
Please list other team members and their Avg Score/ USGA Index (from above list) If no teammates, type in NONE.
Which tee time do you prefer?
Morning Round
Afternoon Round
SPONSOR REGISTRATION
If you are sponsoring a team or wish to sponsor a hole (in addition to participating in the tournament), Please complete the following information.
Check all that apply.
· PRESENTING SPONSOR - $2000: Includes (2) 4-man team, Company name on all carts, Coporate Banner, Hole Sponsor and 2 mulligens per player.
· CORPORATE SPONSOR - $1000: Includes 4-man team, Corporate Banner, Hole Sponsor and 2 mulligens per player.
Hole Sponsor - $100.00
TEAM SPONSORSHIP(FULL) - $560: - Includes 2 mulligens per player.
TEAM SPONSORSHIP (REG) - $500: - Includes 0 mulligens per player
COACHES TEAM (REG) - $ 200: - Includes no mulligens team members have to be coaches or students.
INDIVIDUAL PLAYER - $ 125
INDIVIDUAL COACH/STUDENT - $ 50
Mulligens - 2 for $15.00
SPONSOR INFORMATION
Please provide the name you would like to use on your sponsorship:*
Name of Contact:*
Please provide your billing address.*
Contact Phone*
Contact Email:*
If you have questions or comments, please include them in the space provided.
Security Image*
What is a security image?
* indicates a required field
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