Special Events

Michigan Great Lakes Chapter

2008 Lansing
Charity Golf Outing

Participation Form

If you would like to participate in the 2008 Lansing Charity Golf Outing,
please fill out the following form:

Light yellow fields are required

Name:

Title:

Company Name:

Address:

City:

State:

Zip:

Phone:

ex 123-456-7890

E-Mail Address:

Participation Level:

Amount Due:

.00

If there is an amount based on Participation Level
chosen above, fill in the total amount here.
Do not use any commas to separate thousands.

Auction/Prize Description:

Payment Options:
Send Check By Mail Invoice for Payment Pay at Golf Outing
Pay by Credit Card (Please call 734.475.7043)

Confirmation
Format:

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