Tip Off Time Golf Tournament - Tuesday, October 16, 2007

*Registration:

Select more than one by holding down the ctrl key

*main Contact Name:

*Company Name:

*Address:

*City:

*Zip Code:

*Phone:

- - x

*Main Contact Cell Phone:

- - x

*Main Co. Email:

Player 1 Name:

Address:

City:

State:

Zip Code:

Phone:

- -

Cell Phone:

- -

Email:

Shirt Size:

Player 2 Name:

Address:

City:

State:

Zip Code:

Phone:

- -

Cell Phone:

- -

Email:

Shirt Size:

Player 3 Name:

Address:

City:

State:

Zip Code:

Phone:

- -

Cell Phone:

- -

Email:

Shirt Size:

Player 4 Name:

Address:

City:

State:

Zip Code:

Phone:

- -

Cell Phone:

- -

Email:

Shirt Size:

Payment Type:

Check

Mastercard

Visa

Credit Card Number - This is not a secure site. Alternatively you can call in this number to Annette Kelly at 714.414.9071:

Expiration Date:

/

Registration Total:

$

Credit Card Verification Num:

Coming for dinner only ($65):

Yes

No

Number of Extra Dinner Tickets Needed:

I would like to donate a raffle or prize item, please call me:

please call me

Preferred Phone Number:

- -

I cannot attend the 'Tip Off Time' Golf Tournament, but would like to make a donation:

but would like to make a donation

Donation Amount:

$

REGISTRATION

Vanguard Golf Tournament

Proudly Sponsored by