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

Tickets

Please reserve event ticket(s) at $175 each.
For tax purposes, $75 of each ticket is deductible to the donor according to the IRS contribution guidelines.
 

Foursome

I would like to register foursome(s) instead at $700 each.
For tax purposes, $300 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 Chippewa Challenge Golf Outing: $
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 the players in your foursome and indicate the sport(s) you would like your registration to support.*
Comments