Robert Shaker Memorial

REGISTRATION and PAYMENT FORM
 Contact Information:
Carolyn Horvat
Robert Shaker Memorial
9468 Root Road
North Ridgeville, OH 44039
440-748-4204

golf@robertshakermemorial.com

$100 Golfer
Fill Out Registration For All Golfers and Sponsorships
First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Cell Phone:
Email:
Team Captain Name::
Team Captain Handicap::
Golfer #2 Name::
Golfer #2 Handicap:
Golfer #3 Name:
Golfer #3 Handicap:
Golfer #4 Name:
Golfer #4 Handicap:
I Would Like To Sponsor a Hole$125.00:
Enter Name On Sign
I Would Like To Sponsor a Beverage Cart $250.00
Enter Name on Sign:
I Would Like To Sponsor Putting Green $300.00
Enter Name on Sign:
I Would Like To Sponsor a Shot Hole $500.00
Enter Name on Sign:
I Would Like To Sponsor Practice Range $750.00
Enter Name on Sign:
I Would Like To Sponsor Awards & Receptions $1000.00
Enter Name on Sign:
I Would Like to Make a Donation To The Robert Shaker Memorial. Enter Amount:
I Would Like To Purchase Dinner Only $30.00 Each
Enter Quantity:
Comments:

 

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 to the address above.
 Thank You!

 

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