Items marked with (*) are required.
Name:*
Company Name:
Address:*
City:*
State:*
Zip: *
Phone Number *
E-Mail: *
 

Tickets

Please reserve event ticket(s) at $80 each.
For tax purposes, $30 of each ticket is deductible to the donor according to the IRS contribution guidelines.
 

Foursome

I would like to register foursome(s) instead at $320 each.
For tax purposes, $120 of each group is deductible to the donor according to the IRS contribution guidelines.
 

Sponsorships

$   

Total ticket/sponsorship amount: $0.00
 

Donations

I would like to make a tax-deductible donation to the The Herbert H. & Grace A. Dow College of Health Professions 2014 Golf Tournament: $
Grand Total: $
I wish to pay for my contribution:
By Credit Card or e-Check (to be completed after the confirmation page). Accepted_Cards
Please bill me.
Please list the names of those that you wish to golf with.*
Comments