2012 Golf Classic Registration

Deadline for entry - August 6, 2012

Registration Information

Company Name
Contact Name
Address
City	State ZIP
Phone
Email

Course preference is given to Diamond and Platinum sponsors and early registrants.

Sponsorship Reservation

The following benefits are included with each level of sponsorship. Plus, every registered golfer will be entered to win a brand new car or $10,000!

Sponsor recognition at event
Recognition on Mount Nittany Medical Center website's Golf Classic page
Name on Golf Recognition Wall located in the Main Lobby of the Medical Center
Lunch, Awards Reception and Dinner
Commemorative Gift and Refreshments

Donation Information

Dinner Guest(s) # at $40 per guest

Golf Raffle # at $25 each

Super Pass - $160 for registered golfers only; sold to teams only

Total Registration Amount Due $

Team Information

Team 1 Members

Team Captain
Handicap	Jacket Size: S M L XL XXL
Address
City	State ZIP
Phone	Email

Name
Handicap	Jacket Size: S M L XL XXL
Address
City	State ZIP
Phone	Email

Name
Handicap	Jacket Size: S M L XL XXL
Address
City	State ZIP
Phone	Email

Name
Handicap	Jacket Size: S M L XL XXL
Address
City	State ZIP
Phone	Email

Team 2 Members

Team Captain
Handicap	Jacket Size: S M L XL XXL
Address
City	State ZIP
Phone	Email

Name
Handicap	Jacket Size: S M L XL XXL
Address
City	State ZIP
Phone	Email

Name
Handicap	Jacket Size: S M L XL XXL
Address
City	State ZIP
Phone	Email

Name
Handicap	Jacket Size: S M L XL XXL
Address
City	State ZIP
Phone	Email

Team 3 Members

Team Captain
Handicap	Jacket Size: S M L XL XXL
Address
City	State ZIP
Phone	Email

Name
Handicap	Jacket Size: S M L XL XXL
Address
City	State ZIP
Phone	Email

Name
Handicap	Jacket Size: S M L XL XXL
Address
City	State ZIP
Phone	Email

Name
Handicap	Jacket Size: S M L XL XXL
Address
City	State ZIP
Phone	Email

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