TEAM CAPTAIN'S Registration

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Team Captains: Please use this form to register for the Golf Classic. If you have any questions, please contact Brad Blackburn: brad@dyadicfinancial.com. Please have your team captain fill out this form to register the team.

Team Name: *

Team Captain's (your) Name: *

Team Captain's Business Name:

Team Captain's E-mail Address: *

Team Captain's Phone Number: *

Player #2 Name:

If known.

Player #2 E-mail Address:

Player #2 Phone Number:

Player #3 Name:

If known.

Player #3 E-mail Address:

Player #3 Phone Number:

Player #4 Name:

If known.

Player #4 E-mail Address:

Player #4 Phone Number:

How will YOU be paying for the tournament? *

Cost is $100 per player, $400 per team. Includes lunch. Checks need to be made out to CEF Columbia-Midlands and mailed to: P.O. Box 21003, Columbia, SC 29221. Indicate on the check the name of your team, and that it is for the golf classic.

Mailing a check to the CEF Office

Paying online via credit card (see the Paypal option, below)

Paying at the tournament (using check or credit card)

Other:

How will your other players be paying for the tournament? *

They will be mailing their checks to the CEF Office

I am including their payments with mine

They will be paying via credit card online

They will be paying at the tournament

Other:

Yes! I am interested in learning more information about how my business can become a sponsor. *

Different levels of sponsorship are available. We will contact you with more information if you desire.

Yes

Other:

Questions, Comments:

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