Christiana Rotary - Registration

GOLF:
Individual(s)	x $195 =
Foursome(s)	x $780 =

SPONSORSHIPS:
Tee Sponsorship	*x $125 =**
Green Sponsorship	x $150 =
* Renewing is $100
DONATIONS:
I can't attend, but wish to support this event

TOTAL

Make checks payable to "Christiana Rotary Club Foundation"

or use your credit card

CREDIT CARD NUMBER

EXP. DATE

NAME AS IT APPEARS ON CARD

__MASTERCARD __VISA __ DISCOVER __ AMERICAN EXPRESS

As holder of the above credit card, I authorize the amount shown in the TOTAL column to be charged to my credit card on xxx xx, xxxx

Signature: Date:

SUBMIT REGISTRATION FORM

Fax To: (302) 454-4750 or

Mail To:

Christiana Rotary, c/o Dave Bonk,

P.O. Box 1656

Hockessin, DE 19707

TELEPHONE INFORMATION

(302) 235-5598

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