Pre-Game Super Bowl Golf Tournament
Hosted by Madera Chamber of Commerce and Madera County Food Bank
SATURDAY—JANUARY 24, 2015
Madera Municipal Golf Course— Game Ticket Per Person $100.00
8:00 AM Check In; 9:00 AM Kick Off
Please complete the following Registration Form and Submit payment to:
Madera Chamber of Commerce, 120 North E. Street, Madera, CA 93638
QUARTERBACK (CONTACT) PERSON: ____________________________________________
TEAM (BUSINESS) NAME: ______________________________________________________
 COIN TOSS RAFFLE PRIZE
EMAIL: ____________________________________________________________________
Please list the item(s) donated, if donating gift cards, please list value)
_______________________________
Team players:
 GOODIE BAG ITEMS
PHONE: ____________________________________________________________________
$100.00 ____________________________________________________________
$100.00 ____________________________________________________________
Donation (minimum of 100 items,
quantity will be confirmed one week
prior to the event.)
$100.00 ____________________________________________________________
$100.00 ____________________________________________________________
 TOUCHDOWN TEE SPONSOR $100
$ _______________
Sign to be displayed at hole on course
 TAILGATE TABLE SPONSOR $50.00
$ _______________
As a Table Sponsor, you have the option to host a Table (Holes 1 thru 18) to promote your business
and interact with golfers. Tailgate tables must handout giveaways or conduct a contest at their
location. Call the Chamber office for more information.
TOTAL ENCLOSED
$ ____________
Cost includes pre-game tailgate, after
game celebration, and trophy presentation. Team players wearing a jersey
will receive five additional raffle tickets.
Please make checks out to the Madera
Chamber of Commerce. To pay by
credit card, please call the Madera
Chamber at 559.673.3563.