Special Events

Michigan Great Lakes Chapter

2010 Lansing
Charity Golf Outing

Participation Form

If you would like to participate in the 2010 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

Email Address:

Participation Level:

Amount Due:

.00

Fill this in only if your amount owed is different
than the sposorship level.
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)